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FOREST PARK NEUROLOGY LLC NPI 1972859510


NPI Information

NPI: 1972859510
Provider Name: FOREST PARK NEUROLOGY LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
5811 E TRUMAN RD
KANSAS CITY, MO
ZIP 64126
Phone: (816) 600-1816
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FOREST PARK NEUROLOGY LLC is a prescribing (medical) psychologist in Kansas City, MO. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. FOREST PARK NEUROLOGY LLC NPI is 1972859510. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5811 E TRUMAN RD
KANSAS CITY, MO
ZIP 64126-400
Phone: (816) 600-1816
Fax: (877) 274-1845

The provider's authorized official is Ana V Angeles .
The authorized official title is Practice Coordinator and has the following contact phone number (847) 251-2400.

The enumeration date for this NPI number is 8/1/2012 and was last updated on 8/1/2012.


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
1103TP0016XPsychologistPrescribing (Medical)1116914MISSOURIYes

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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