Kasey Grass PHD LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2011019654 Issued in MO

Legal business name

KASEY GRASS PHD LLC

Practice address

2401 W Grand St
Springfield, MO 65802-4967

Phone

(501) 993-2274

Fax

(888) 389-4091

NPI assigned

Sep 13, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kasey Nicole Grass, PH.D.

Title

Owner/Psychologist

Phone

(501) 993-2274

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1942550322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 E MELBOURNE RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658045257",
            "telephone_number": "501-993-2274",
            "fax_number": "888-389-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W GRAND ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658024967",
            "telephone_number": "501-993-2274",
            "fax_number": "888-389-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASEY GRASS PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "GRASS",
        "authorized_official_first_name": "KASEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "501-993-2274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2011019654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073805909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Karlovich, BS, LPN, CMC, HCA
• Craig Karnes, PA
• Andrea Lea Karr, MSW, LMSW
• Sarah Karr, RD, LD
• Tammy S Karr, RPH
• Betsy Kassab, PSYD, LPC
• Bruce Allen Kater, O.D.
• Kathleen a Rogers
• Bruce Wayne Kaufman, DDS
• Laura L Kaufman, RD

• Community/Behavioral Health Agency in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.