Unknown Individual – Clinical Psychologist, NPI 1083974570
Clinical Psychologist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
600 E 5TH ST
FULTON, MO 652511753
Phone: (573) 592-2195
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 153 | 26 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 16 | 16 | $0 |
Insurance plans in this area (ZIP 65251)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | IA | |
| - | IA | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | IL | |
| - | IA | |
| - | MO | |
| - | IL | |
| - | MO | |
| Clinical Social Worker | OH |
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