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

Cultivate Psychological Services LLC

Organization Clinical Psychologist · NPI 1396004990

Cultivate Psychological Services LLC is a Clinical Psychologist in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1439 S Rogers Ave
Springfield, MO 65804-1129
Phone: (417) 619-9818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2009030819 (MO)

Record details

NPI number1396004990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Farnan — Licensed Psychologist/Owner/Member · (417) 619-9818
NPI enumeratedMay 16, 2012
Last updated in NPPESMay 16, 2012
Mailing address331 E Water St, Suite 107, Springfield, MO 65806-1141

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