MANFREDO FLORESCRUZ
NPI 1407673908
Psychologist in Fulton, MO

Active since September 25, 2024PECOS EnrolledAccepts Medicare Assignment
600 EAST FIFITH STREET, FULTON, MO 65251(573) 592-2030 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manfredo Florescruz NPPES

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

MANFREDO FLORESCRUZ (NPI 1407673908) is an individual psychologist in Fulton, Missouri, licensed in Missouri (2023049778) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407673908
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMANFREDO FLORESCRUZ
Location Address600 EAST FIFITH STREETFulton, MO 65251
Mailing Address600 East Fifith StreetFulton, MO 65251 · (573) 592-2030
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 20, 2024
NPI 1407673908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2023049778
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
600 EAST FIFITH STREET, Fulton, MO 65251

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Manfredo Florescruz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163954421
PECOS Enrollment IDI20241011003053
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Manfredo Florescruz's NPI number?

The NPI number for Manfredo Florescruz is 1407673908. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Manfredo Florescruz located?

Manfredo Florescruz practices at 600 East Fifith Street, Fulton, MO 65251. The listed phone number is (573) 592-2030.

What is Manfredo Florescruz's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Manfredo Florescruz enrolled in Medicare?

Yes. Manfredo Florescruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Manfredo Florescruz was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.