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SPRINGFIELD PSYCHIATRY & ADDICTION MEDICINE LLC
NPI 1427733898
Psychiatry & Neurology - Addiction Medicine in Springfield, MO

Active since June 21, 2023CLIA 26D2285850 · Waiver
3646 S CAMPBELL AVE, SPRINGFIELD, MO 65807(417) 557-2355 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Jul 10, 2023, Jun 21, 2023 (3 updates tracked since 2023).

About Springfield Psychiatry & Addiction Medicine Llc NPPES

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

SPRINGFIELD PSYCHIATRY & ADDICTION MEDICINE LLC (NPI 1427733898) is a healthcare organization registered as an addiction medicine in Springfield, Missouri and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Michelle Raymond, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1427733898
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameSPRINGFIELD PSYCHIATRY & ADDICTION MEDICINE LLC
Location Address3646 S CAMPBELL AVESpringfield, MO 65807-5202
Mailing Address3646 S Campbell AveSpringfield, MO 65807-5202 · (417) 557-2355
Phone(417) 557-2355
Organization SubpartNo
Authorized OfficialMichelle RaymondClinic Director · (417) 343-2577
Enumeration DateJune 21, 2023
Last NPPES UpdateAugust 25, 20233 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1427733898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
3646 S CAMPBELL AVE, Springfield, MO 65807
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2285850

Springfield Psychiatry & Addiction Medicine · Springfield, MO
Active · expires Jul 18, 2027
CLIA Number26D2285850
Laboratory TypePractitioner Other
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorMehdi Tajouri
Laboratory Phone(417) 557-2355
Laboratory LocationSpringfield Psychiatry & Addiction Medicine3646 S Campbell Ave, Springfield, MO 65807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LYNSEY ERIN MCCOMMONS CRC, PLPC
Counselor (Mental Health)
3646 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 597-4309
MRS. CHARI RAE THOMPSON PLPC
Counselor
3646 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 597-4309
CLAIR REBECA CROW MA, NCC, PLPC
Counselor (Professional)
3646 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 597-4309

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 Springfield Psychiatry & Addiction Medicine LLC's NPI number?

The NPI number for Springfield Psychiatry & Addiction Medicine LLC is 1427733898. It was assigned to this organization in the NPPES registry on June 21, 2023.

Where is Springfield Psychiatry & Addiction Medicine LLC located?

Springfield Psychiatry & Addiction Medicine LLC is located at 3646 S Campbell Ave, Springfield, MO 65807. The listed phone number is (417) 557-2355.

What is Springfield Psychiatry & Addiction Medicine LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Does Springfield Psychiatry & Addiction Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2285850) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Springfield Psychiatry & Addiction Medicine LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Springfield Psychiatry & Addiction Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Springfield Psychiatry & Addiction Medicine LLC was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.