CPR YOUTH
NPI 1578199238
Psychologist - Rehabilitation in Jefferson City, MO

Q: What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1578199238. It was assigned to this organization in the NPPES registry on March 13, 2020. The provider is doing business as Cpr Youth.

Q: What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Q: When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on October 27, 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.

Active since March 13, 2020

1706 E ELM ST, JEFFERSON CITY, MO 65101(573) 751-3398 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2020, Mar 13, 2020 (2 updates tracked since 2020).

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About Cpr Youth NPPES

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

CPR YOUTH (NPI 1578199238) is a healthcare organization registered as a rehabilitation in Jefferson City, Missouri and active in the NPI registry since March 2020. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1578199238

Entity TypeOrganization

Primary Taxonomy103TR0400X

Legal Business NameSTATE OF MISSOURI

Location Address1706 E ELM STJefferson City, MO 65101-4130

Mailing AddressPo Box 687, 1706 E Elm StJefferson City, MO 65102-0687 · (573) 751-3398

Phone(573) 751-3398

Organization SubpartYes

Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055

Enumeration DateMarch 13, 2020

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1578199238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers

Taxonomy Code103TR0400X

Definition

A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

1706 E ELM ST, Jefferson City, MO 65101

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Other Names 1

Doing Business AsCpr Youth

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MISSOURI DEPARTMENT OF MENTAL HEALTH

Clinic/Center (Adult Mental Health)