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FULTON STATE HOSPITAL
NPI 1164477873
Psychiatry & Neurology - Psychiatry in Fulton, MO

Active since May 23, 2006
600 E 5TH ST, FULTON, MO 65251(573) 592-4100(573) 592-3000 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2020, Aug 26, 2019 (2 updates tracked since 2019).

About Fulton State Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULTON STATE HOSPITAL (NPI 1164477873) is a healthcare organization registered as a psychiatry in Fulton, Missouri and active in the NPI registry since May 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1164477873
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSTATE OF MISSOURI
Location Address600 E 5TH STFulton, MO 65251-1753
Mailing Address1706 E Elm St, Po Box 687Jefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560
Phone(573) 592-4100
Fax(573) 592-3000
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 28, 20202 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1164477873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedOptometristTaxonomy 152W00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPodiatristTaxonomy 213E00000X
600 E 5TH ST, Fulton, MO 65251
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Other Names 1

Doing Business AsFulton State Hospital

Other Identifiers 1

Medicaid500490008MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF MISSOURI
Case Management
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-4100
BRYAN ZOLNIKOV PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2623
ERIC MARTIN PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2623
STATE OF MISSOURI
Psychiatric Hospital
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-4100
DR. ROBERT B SEXE M.D.
Surgery
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2793
DR. SHARON ROBBINS PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-3365
ANDREW WHITE DNP, FNP-C
Nurse Practitioner (Family)
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2765
KIRSTEN DEMING HUNTER
Psychologist (Clinical)
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1164477873. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Fulton State Hospital.

Where is State Of Missouri located?

State Of Missouri is located at 600 E 5th St, Fulton, MO 65251. The listed phone number is (573) 592-4100.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.