FULTON STATE HOSPITAL
NPI 1164477873
Psychiatry & Neurology - Psychiatry in Fulton, MO
NPI Status: Active since May 23, 2006
Contact Information
600 E 5TH ST
FULTON, MO
ZIP 65251
Phone: (573) 592-4100
Fax: (573) 592-3000
- Organization
- Psychiatry & Neurology
- Psychiatry
- CLIA Number: 26D2050150
- CLIA Cert. Type: Other - DEPT OF MENTAL HEALTH IN
- CLIA Exp. Date: 05-07-2027
About FULTON STATE HOSPITAL
This page provides the complete NPI Profile along with additional information for Fulton State Hospital, a provider established in Fulton, Missouri operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1164477873 assigned on May 2006. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Fulton State Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Fulton State Hospital. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)
- NPI
- 1164477873
- Provider Legal Name
- STATE OF MISSOURI
- Other Organization Name
- FULTON STATE HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 600 E 5TH ST FULTON, MO 65251
- Location Phone
- (573) 592-4100
- Location Fax
- (573) 592-3000
- Mailing Address
- 1706 E ELM ST PO BOX 687 JEFFERSON CITY, MO 65101
- Mailing Phone
- (573) 751-3398
- Mailing Fax
- (573) 592-3000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-23-2006
- Last Update Date
- 08-28-2020
- Code Navigator
A psychiatrist like Fulton State Hospital are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 5 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 6 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500490008 | MEDICAID (05) | MO |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2050150
- Facility Type
- Other - DEPT OF MENTAL HEALTH IN
- Certificate Effective Date
- May 08, 2025
- Certificate Expiration Date
- May 07, 2027
- Laboratory Director
- MARY S. HUBBARD
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Fulton State Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164477873, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FULTON, MO 65251
FULTON, MO 65251
FULTON, MO 65251
FULTON, MO 65251
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164477873, enumerated as an "organization" on May 23, 2006.
The provider is located at 600 E 5TH ST FULTON, MO 65251 and the phone number is (573) 592-4100.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
