National Provider Identifier Database

STATE OF MISSOURI
Psychiatry

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.


Contact Information

STATE OF MISSOURI
600 E 5TH ST
FULTON, MO65251-1753
Phone: 573-592-4100
Fax: 573-592-3000
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X
Clinical 103TC0700X
Clinical 1041C0700X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Optometrist 152W00000X
Podiatrist 213E00000X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for STATE OF MISSOURI

NPI Number 1164477873
Legal business name
LBN
STATE OF MISSOURI
Authorized official MOLLY BOECKMANN - (DIRECTOR OF ADMINISTRATIVE SERVICES)
Entity Organization
Organization subpart Yes
Enumeration date 05/23/2006
Last updated 08/28/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 500490008

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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