Organization Active NPI

Mercy Clinic Springfield Communities

  • Psychologist
  • Springfield, MO
National Provider Identifier
1962449447
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MERCY CLINIC SPRINGFIELD COMMUNITIES
Practice address
2030 S National Ave
Suite 105
Springfield, MO 65804-2222
Phone
(417) 820-9590
Fax
(417) 820-9592
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Mr. Donn E. Sorensen
Title
Senior Vice President/Coo
Phone
(417) 820-6556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2030 S National Ave
Suite 105
Springfield, MO 65804-2222

Mailing address

PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620

National Provider Directory

National Provider Directory

Locations

550 S Hudson Ave
Aurora, MO 65605
Phone (417) 678-0632

3817 S Springfield Ave
Ste 120
Bolivar, MO 65613
Phone (417) 422-4769

448 State Highway 248
#180
Branson, MO 65616

120 Hospital Dr
Ste 300
Lebanon, MO 65536
Phone (417) 533-6746

100 Hospital Dr
Ste 100
Lebanon, MO 65536

940 W Mount Vernon St
Ste 100
Nixa, MO 65714
Phone (417) 724-5220

940 W Mount Vernon St
Ste 200
Nixa, MO 65714
Phone (417) 724-5200

332 S Main Ave
Republic, MO 65738
Phone (417) 432-5058

404 W Rolla Rd
Salem, MO 65560
Phone (573) 729-6225

1965 S Fremont Ave
Ste 230
Springfield, MO 65804
Phone (417) 820-3809

1235 E Cherokee St
Ste 2D2K
Springfield, MO 65804

3231 S National Ave
Ste 240
Springfield, MO 65807
Phone (417) 730-3030

2115 S Fremont Ave
Ste 1100
Springfield, MO 65804
Phone (417) 820-3554

3231 S National Ave
Ste 280
Springfield, MO 65807
Phone (417) 885-0830

3231 S National Ave
#120
Springfield, MO 65807

2115 S Fremont Ave
Ste 3300
Springfield, MO 65804
Phone (417) 820-5200

2115 S Fremont Ave
Ste 2200
Springfield, MO 65804
Phone (417) 820-7278

529 E Pineville Rd
Washburn, MO 65772
Phone (417) 826-5410

403 E Walnut Ln
Willard, MO 65781
Phone (417) 742-2300

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1962449447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012580",
            "telephone_number": "417-829-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S NATIONAL AVE",
            "address_2": "SUITE 105",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042222",
            "telephone_number": "417-820-9590",
            "fax_number": "417-820-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC SPRINGFIELD COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "DONN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT/COO",
        "authorized_official_telephone_number": "417-820-6556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.