Provider Demographics
NPI:1841378163
Name:SHAROL MCGEHEE & ASSOCIATES PC
Entity type:Organization
Organization Name:SHAROL MCGEHEE & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEHEE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:417-877-0303
Mailing Address - Street 1:2200 E SUNSHINE ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1819
Mailing Address - Country:US
Mailing Address - Phone:417-877-0303
Mailing Address - Fax:417-877-0044
Practice Address - Street 1:2200 E SUNSHINE ST
Practice Address - Street 2:SUITE 302
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1819
Practice Address - Country:US
Practice Address - Phone:417-877-0303
Practice Address - Fax:417-877-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO278659OtherMANAGED HEALTH NETWORK
MOCG3028Medicare ID - Type UnspecifiedRAILROAD MEDICARE