PHILIP K MOTHERSEAD PHD
NPI 1700995677
Clinical Neuropsychologist in Springfield, MO

Q: What is Philip Mothersead's NPI number?

The NPI number for Philip Mothersead is 1700995677. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Philip Mothersead's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Mothersead was last updated on July 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2006PECOS Enrolled

1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-2000 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Philip K Mothersead Phd NPPES

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

PHILIP K MOTHERSEAD PHD (NPI 1700995677) is an individual clinical neuropsychologist in Springfield, Missouri, licensed in Missouri (01173) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700995677

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NamePHILIP K MOTHERSEADCredential: PHD

Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203

Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203 · (417) 820-2000

Phone(417) 820-2000

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 17, 2007

✔ NPI 1700995677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MO · 01173

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 01173 (MO)

1235 E CHEROKEE ST, Springfield, MO 65804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip K Mothersead Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.