Core14 LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2003019242 Issued in MO

Legal business name

CORE14 LLC

Practice address

2700 N Range Line Rd
Suite 101
Joplin, MO 64801-9100

Phone

(417) 627-9601

Fax

(417) 627-9032

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Alberty, PSY.D.

Title

Psychologist

Phone

(417) 627-9601

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1982955191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N RANGE LINE RD",
            "address_2": "SUITE 101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019100",
            "telephone_number": "417-627-9601",
            "fax_number": "417-627-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N RANGE LINE RD",
            "address_2": "SUITE 101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648019100",
            "telephone_number": "417-627-9601",
            "fax_number": "417-627-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE14 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "ALBERTY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-627-9601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2003019242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881783066",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonmichael R Cope
• Molly J Cope
• Eric Allen Copeland, PSY.D.
• Francis H. Corcoran, M.D.
• Robert Cordova
• Cornerstone Caregiving East LLC
• Cornerstone Health & Wellness, LLC
• Cornerstone Medical, LLC
• Jasmin A Coronado, PTA
• Naomie Del Mar Corro, OTR/L

• All providers in Joplin, MO
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.