SAC RIVER INSTITUTE
NPI 1700139755
Psychologist - Clinical in Dadeville, MO

Active since October 16, 2012
131 ELM STREET, DADEVILLE, MO 65635(417) 995-2476(866) 520-5586 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sac River Institute NPPES

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

SAC RIVER INSTITUTE (NPI 1700139755) is a healthcare organization registered as a clinical in Dadeville, Missouri and active in the NPI registry since October 2012. The organization lists Rebecca Marie Roller, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1700139755
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSAC RIVER INSTITUTE
Location Address131 ELM STREETDadeville, MO 65635
Mailing Address928 E Dade 68Dadeville, MO 65635-8112 · (417) 777-1476 · Fax (866) 520-5586
Fax(866) 520-5586
Organization SubpartNo
Authorized OfficialRebecca Marie RollerClinical Psychologist · (417) 777-1476
Enumeration DateOctober 16, 2012
NPI 1700139755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MO · 2006033497
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
131 ELM STREET, Dadeville, MO 65635

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

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 Sac River Institute's NPI number?

The NPI number for Sac River Institute is 1700139755. It was assigned to this organization in the NPPES registry on October 16, 2012.

Where is Sac River Institute located?

Sac River Institute is located at 131 Elm Street, Dadeville, MO 65635. The listed phone number is (417) 995-2476.

What is Sac River Institute's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Sac River Institute was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.