APPLIED PSYCHOLOGICAL CENTER, LLC NPI 1003018417

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Cape Girardeau, MO

NPI 1003018417 Organization Clinic/Center Mental Health (Including Community Menta...

About APPLIED PSYCHOLOGICAL CENTER, LLC

Applied Psychological Center, Llc is a provider established in Cape Girardeau, Missouri specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Applied Psychological Center, Llc is 1003018417 and was assigned on June 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. David M Van Pelt Psy,d (Executive Director)

NPI

1003018417

Provider NameAPPLIED PSYCHOLOGICAL CENTER, LLC
Provider Location Address2907 INDEPENDENCE ST SUITE F CAPE GIRARDEAU, MO 63703
Provider Mailing Address2907 INDEPENDENCE ST SUITE F CAPE GIRARDEAU, MO 63703
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-05-2007
Last Update Date02-10-2014


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License StateMO

Business Address

APPLIED PSYCHOLOGICAL CENTER, LLC
2907 INDEPENDENCE ST
SUITE F
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-3329
Fax: (573) 200-7006

Get Directions


Mailing Address

APPLIED PSYCHOLOGICAL CENTER, LLC
2907 INDEPENDENCE ST
SUITE F
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-3329
Fax: (573) 200-7006



Authorized Official

Authorized Official NameDR. DAVID M VAN PELT PSY,D
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(573) 334-3329

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
001976787OTHER (01)MO
506277102MEDICAID (05)MO
1821066242MEDICARE UPIN (02)MO
000014867MEDICARE ID-TYPE UNSPECIFIED (04)MO

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841240314CAPE HOME OXYGEN, LLC
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)2907 INDEPENDENCE ST SUITE D
CAPE GIRARDEAU, MO 63703
(573) 429-6512
1437170230MR. JAMES L DAVIS LCSW
Individual
Social Worker (Clinical)2907 INDEPENDENCE ST SUITE G
CAPE GIRARDEAU, MO 63703
(573) 651-1582
1366541104MS. PATRICIA ANN MURRAY LPC, CEAP, SAP
Individual
Counselor (Professional)2907 INDEPENDENCE ST SUITE G
CAPE GIRARDEAU, MO 63703
(573) 334-7667
1114026945MR. LEO WALTER ALLSTUN JR. LPC, CEAP, SAP
Individual
Counselor (Professional)2907 INDEPENDENCE ST SUITE G
CAPE GIRARDEAU, MO 63703
(573) 334-7667

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.