Active NPI
Rachael Michelle Swopes, PHD
- Clinical Psychologist
- Bolivar, MO
National Provider Identifier
1992848139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2013026819
- Practice address
- 1120 S Springfield Ave
Bolivar, MO 65613-2512 - Phone
- (417) 326-7840
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2013026819 | MO | Primary |
Addresses
Primary practice location
1120 S Springfield Ave
Bolivar, MO 65613-2512
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138880112 | Other | MO | MEDICARE TPAN |
| 1992848139 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013026819 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1992848139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N OAKLAND AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133011",
"telephone_number": "417-326-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S SPRINGFIELD AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656132512",
"telephone_number": "417-326-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWOPES",
"first_name": "RACHAEL",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2013026819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TPAN",
"identifier": "138880112",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992848139",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.