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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

417 PSYCH, LLC

Active Organization

417 PSYCH, LLC is a Clinical Psychologist organization located in SPRINGFIELD, Missouri. NPI 1699653022 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SPRINGFIELD, MO

Registration Details

NPI Number
1699653022
Provider Type
Organization
NPI Issued
Aug 25, 2025 (0.9893564039981 yrs)
Last Updated
Aug 25, 2025

Practice Information

Address
1911 S NATIONAL AVE STE 401
SPRINGFIELD, MO, 658042213
Browse MO providers · Browse ZIP 65804
Phone
4174131724
Fax
4173130722
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.