Northeast Missouri Health Council Inc
NPI 1336679836 · Psychologist · Kirksville, MO
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Missouri Health Council Inc is a Psychologist organization in Kirksville, MO (NPI 1336679836).
Provider details
- NPI number
- 1336679836
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Andrew Grimm, Ceo(660) 627-5757
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Northeast Family Health Annex
- Doing business as
- Northeast Family Health Annex
Registry dates
- Enumerated
- 2017-06-16
- Last updated
- 2017-07-10
Frequently asked questions
- What is Northeast Missouri Health Council Inc's NPI number?
- Northeast Missouri Health Council Inc's National Provider Identifier (NPI) is 1336679836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Missouri Health Council Inc?
- Northeast Missouri Health Council Inc is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Northeast Missouri Health Council Inc located?
- Northeast Missouri Health Council Inc's practice location on file with NPPES is 1410 Crown Dr, Kirksville, MO 63501-2548.
- What is Northeast Missouri Health Council Inc's phone number?
- The practice phone number listed in the NPPES registry for Northeast Missouri Health Council Inc is (660) 627-4493.
- Does Northeast Missouri Health Council Inc accept Medicare?
- Northeast Missouri Health Council Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Missouri Health Council Inc?
- The authorized official listed on Northeast Missouri Health Council Inc's NPPES record is Andrew Grimm, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Missouri Health Council Inc's NPI active?
- Yes — Northeast Missouri Health Council Inc's NPI (1336679836) is active in the NPPES registry as of the last update on 2017-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.