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EASTERN JACKSON COUNTY PSYCHIATRIC ASSOC INC NPI 1356305999


NPI Information

NPI: 1356305999
Provider Name: EASTERN JACKSON COUNTY PSYCHIATRIC ASSOC INC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
17221 E 23RD ST S
#206
INDEPENDENCE, MO
ZIP 64057
Phone: (816) 373-1911
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EASTERN JACKSON COUNTY PSYCHIATRIC ASSOC INC is a psychiatry psychiatry neurology in Independence, MO. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. EASTERN JACKSON COUNTY PSYCHIATRIC ASSOC INC NPI is 1356305999. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

17221 E 23RD ST S
#206
INDEPENDENCE, MO
ZIP 64057-803
Phone: (816) 373-1911

The provider's authorized official is Diana J Kurtz .
The authorized official title is Practice Administrator and has the following contact phone number (816) 373-1911.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes
2163WP0809XRegistered NursePsychiatric/Mental Health, AdultX
3103TC0700XPsychologistClinicalX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110712013OTHERMISSOURIBCBSKC
208304016OTHERMISSOURIBCBSKC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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