| Caps | |
|
2804 Forum Blvd Suite 4 Columbia MO 65203 | |
| (573) 446-5034 | |
| (573) 446-5046 |
| Full Name | Caps |
|---|---|
| Speciality | Psychologist |
| Location | 2804 Forum Blvd, Columbia, Missouri |
| Authorized Official Name and Position | James Harrison Straub (DIRECTOR) |
| Authorized Official Contact | 5734465034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caps 2804 Forum Blvd Suite 4 Columbia MO 65203 Ph: (573) 446-5034 | Caps 2804 Forum Blvd Suite 4 Columbia MO 65203 Ph: (573) 446-5034 |
| NPI Number | 1629165931 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/13/2015 |
| Medicare PECOS PAC ID | 8022338805 |
|---|---|
| Medicare Enrollment ID | O20150519000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629165931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Susan B Langstraat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902860042 PECOS PAC ID: 3476528027 Enrollment ID: I20040827000896 |
| Provider Name | Shelly M Ossana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821163031 PECOS PAC ID: 9931207867 Enrollment ID: I20070531000101 |
| Provider Name | James H Straub |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821189507 PECOS PAC ID: 0648347872 Enrollment ID: I20121227000240 |
| Provider Name | Jennah Strathausen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558031385 PECOS PAC ID: 0941696074 Enrollment ID: I20220329002922 |
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