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KANSAS CITY PSYCHOLOGY CENTER LLC NPI 1013460682


NPI Information

NPI: 1013460682
Provider Name: KANSAS CITY PSYCHOLOGY CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 26D2214656

Address:
2307 NW SOUTH OUTER RD
BLUE SPRINGS, MO
ZIP 64015
Phone: (816) 301-7916
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KANSAS CITY PSYCHOLOGY CENTER, LLC is a mental health (including community mental health center) clinic center in Blue Springs, MO. KANSAS CITY PSYCHOLOGY CENTER, LLC NPI is 1013460682. The provider is registered as an organization entity type.

The provider's business location address is:

2307 NW SOUTH OUTER RD
BLUE SPRINGS, MO
ZIP 64015-254
Phone: (816) 301-7916
Fax: (816) 447-3944

The provider's authorized official is Shawn Mcdaniel .
The authorized official title is Psychologist/owner and has the following contact phone number (816) 301-7916.

The CLIA number assigned to this NPI record is 26D2214656 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/29/2016 and was last updated on 7/29/2016.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)2007033941MISSOURIYes

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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