Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407673908 Individual Practitioner Male Practitioner

Manfredo Florescruz

Psychologist • Fulton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Manfredo Florescruz is a certified Psychologist practicing in Fulton, MO. With approximately 2 years of clinical experience since completing medical education in 2024, Manfredo Florescruz delivers high-quality medical care to the local community at 600 EAST FIFITH STREET.

Manfredo Florescruz is affiliated with State Of Missouri and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

600 East Fifith Street

Fulton, MO 65251

Telephone 5735922030

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fulton, MO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -11.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
15 Specialists

Practicing in Fulton, MO (635 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Florescruz (2 Years) 2 Yrs
Fulton Specialty Average (13.0 Years) 13.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-09-20
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MO 2023049778

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

State Of Missouri

600 E 5th St, Fulton, MO 652511793

Phone: 5735924100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Amy Lewis , PhD

Psychologist - Clinical

NPI 1275249153

Doctor of Philosophy (Ph.D.)

Dr. Matthew Stull , PhD

Psychologist - Clinical

NPI 1770299265

Doctor of Philosophy (Ph.D.)

NPI 1801411301

Advanced Practice Registered Nurse

NPI 1851916944

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Audra Biermann

Psychologist - Clinical

NPI 1881469864
Alexandria Choate

Psychologist - Clinical

NPI 1922988732

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2024

Registered at 600 EAST FIFITH STREET, FULTON, MO 65251 (Tel: 5735922030)

📍
Updated Business Mailing Address September 25, 2024

Registered at 600 EAST FIFITH STREET, FULTON, MO 65251 (Tel: 5735922030)

👤
Provider Name / Credentials Updated September 25, 2024

Recorded as MANFREDO FLORESCRUZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2024

Psychologist (License #2023049778 in MO)

🟢
Initial NPI Registration & Enumeration September 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407673908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2024
Last Update: September 25, 2024
Sole Proprietor: No

Mailing Address

600 East Fifith Street

Fulton, MO 65251

Phone: 5735922030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.