OrganizationActive
417 Psych, LLC
NPI 1699653022 · Clinical Psychologist · Springfield, MO
417 Psych, LLC is a Clinical Psychologist organization in Springfield, MO (NPI 1699653022).
Provider details
- NPI number
- 1699653022
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rachael Roldan, Owner/Ceo(417) 413-1724
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1911 S National Ave Ste 401
Springfield, MO 65804-2213
Phone: (417) 413-1724
Fax: (417) 313-0722
Street-level locationGet directions
Mailing address
1911 S National Ave Ste 401
Springfield, MO 65804-2213
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-24
Frequently asked questions
- What is 417 Psych, LLC's NPI number?
- 417 Psych, LLC's National Provider Identifier (NPI) is 1699653022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 417 Psych, LLC?
- 417 Psych, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is 417 Psych, LLC located?
- 417 Psych, LLC's practice location on file with NPPES is 1911 S National Ave Ste 401, Springfield, MO 65804-2213.
- What is 417 Psych, LLC's phone number?
- The practice phone number listed in the NPPES registry for 417 Psych, LLC is (417) 413-1724.
- Who is the authorized official for 417 Psych, LLC?
- The authorized official listed on 417 Psych, LLC's NPPES record is Rachael Roldan, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 417 Psych, LLC's NPI active?
- Yes — 417 Psych, LLC's NPI (1699653022) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.