Blake Webster
Psychologist in Joplin, MO. Individual provider (NPI-1).
NPI number1124451653
StatusActive
Last updated in NPPESSep 3, 2013
Details
- NPI
- 1124451653
- Entity type
- Individual (NPI-1)
- Name
- Blake Webster
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2013
- Last updated
- Sep 3, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2013032508 | MO | Yes |
| 103T00000X | Psychologist | 1299 | KS |
Practice location
1230 N Duquesne RdJoplin, MO 64801-1509
Phone 417-782-1443 · Fax 417-782-3240
Mailing address
1230 N Duquesne RdJoplin, MO 64801-1509
Phone 417-782-1443 · Fax 417-782-3240
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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