Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moonshine Ridge Psychology

Organization Clinical Psychologist · NPI 1659204469

Moonshine Ridge Psychology provides Clinical Psychologist services in Collins, Missouri. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

7840 SE 701 Rd
Collins, MO 64738-7129
Phone: (620) 423-5060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1659204469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanesa Hill — Owner · (620) 423-5060
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address3915 Lloyd St, Kansas City, KS 66103-2828

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