Provider Type Icon

WUBBENHORST & WUBBENHORST INC NPI 1508110628


NPI Information

NPI: 1508110628
Provider Name: WUBBENHORST & WUBBENHORST, INC

Doing Business As: MADISON AVENUE PSYCHOLOGICAL SERVICES

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
12600 E 40 HWY
SUITE 101
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 350-3333
Get Directions

WUBBENHORST & WUBBENHORST, INC is a clinical psychologist in Independence, MO. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. WUBBENHORST & WUBBENHORST, INC NPI is 1508110628. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Madison Avenue Psychological Services.

The provider's business location address is:

12600 E 40 HWY
SUITE 101
INDEPENDENCE, MO
ZIP 64055-955
Phone: (816) 350-3333
Fax: (816) 478-8888

The provider's authorized official is John M Wubbenhorst .
The authorized official title is President and has the following contact phone number (816) 753-3333.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 10/29/2012.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
5103T00000XPsychologistNo
6103TA0400XPsychologistAddiction (Substance Use Disorder)No
7103TA0700XPsychologistAdult Development & AgingNo
8103TB0200XPsychologistCognitive & BehavioralNo
9103TC1900XPsychologistCounselingNo
10103TC2200XPsychologistClinical Child & AdolescentNo
11103TP0814XPsychologistPsychoanalysisNo
12104100000XSocial WorkerNo
131041C0700XSocial WorkerClinicalNo
14106H00000XMarriage & Family TherapistNo
15103TC0700XPsychologistClinicalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.