SOUTHEAST MO MENTAL HEALTH CENTER
NPI 1437106705
Psychiatry & Neurology - Psychiatry in Farmington, MO
About Southeast Mo Mental Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST MO MENTAL HEALTH CENTER (NPI 1437106705) is a healthcare organization registered as a psychiatry in Farmington, Missouri and active in the NPI registry since May 2006. The organization lists Molly Jane Boeckmann, Director Administrative Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Mo Mental Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Southeast Mo Mental Health Center, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 26Farmington, MO 63640
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1437106705. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Southeast Mo Mental Health Center.
Where is State Of Missouri located?
State Of Missouri is located at 1010 W Columbia St, Farmington, MO 63640. The listed phone number is (573) 218-6792.
What is State Of Missouri's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is State Of Missouri enrolled in Medicare?
Yes. State Of Missouri is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Missouri?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 5 Medicare specialties reassign their Medicare billing to State Of Missouri. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Psychiatry (10) and Family Practice (3). Of these, 7 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for State Of Missouri was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southeast Mo Mental Health Center · NPI 1437106705
Psychiatry organization in Farmington, Missouri. Organization record, active in the CMS NPPES registry since May 30, 2006.
## Identity
- **NPI:** 1437106705 (Entity type: Organization)
- **Enumerated:** May 30, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** State Of Missouri
- **Organization subpart:** Yes (part of State Of Missouri)
- **Authorized official:** Molly Boeckmann, DIRECTOR ADMINISTRATIVE SERVICES
## Practice location
- **Address:** 1010 W COLUMBIA ST, Farmington, MO 63640-2902
- **Phone:** (573) 218-6792 · **Fax:** (573) 218-6703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Psychiatry (10), Family Practice (3); 7 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1437106705/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2020
- **Other identifiers:** Medicaid 500490206 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1437106705) · Data from the CMS NPPES public registry.