Individual provider Active NPI

Sobia H Shaffie, MD

  • Child & Adolescent Psychiatry Physician
  • Independence, MO
National Provider Identifier
1003886888
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2000164191 Issued in MO
Practice address
17844 E 23Rd St S
Independence, MO 64057-1840
Phone
(816) 836-6705
Fax
(816) 257-2575
NPI assigned
Jan 25, 2006
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2000164191 MO Primary

Addresses

Primary practice location

17844 E 23Rd St S
Independence, MO 64057-1840

Mailing address

17844 E 23Rd St S
Independence, MO 64057-1840
Phone (816) 836-6705

Other practice location 1

201 W 3rd St
Sedalia, MO 65301-4352
Phone (660) 827-2494

Other practice location 2

7447 Holmes Rd
Kansas City, MO 64131-1691
Phone (816) 836-6720

Other practice location 3

1795 W Main St
Sedalia, MO 65301-3634
Phone (660) 285-9270

Other practice location 4

4231 S Hocker Dr
Independence, MO 64055-4723
Phone (816) 254-3652

Other practice location 5

3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8330

Other practice location 6

17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975

Other practice location 7

1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500

Other practice location 8

800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7735

Other practice location 9

6000 Lamar Ave
Ste 130
Mission, KS 66202-3234
Phone (913) 831-2550

Other practice location 10

1300 E Bradford Pkwy Bldg A
Springfield, MO 65804-4264
Phone (417) 761-5000

Other identifiers 3

IdentifierTypeStateIssuer
208398008MedicaidMO
30130012OtherBCBS OF KC
100098010BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101124000070 KS Practitioner - Psychiatry 0547456998 Reassigns benefits to 1 organization
I20141111000919 MO Practitioner - PsychiatryPractitioner - Neuropsychiatry 0547456998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

1300 E Bradford Pkwy
Springfield, MO 65804-4264

210 N Williams
Burrell Behavioral Health
Moberly, MO 65720-1583
Phone (660) 263-7651

6440 Nieman Rd
Shawnee, KS 66203-3326
Phone (913) 826-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Mental Health Center CurrentSince Jul 1, 2001 Accepting new patients
Burrell, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Burrell, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Oct 2, 2014 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Oct 2, 2014 Accepting new patients
Johnson County Mental Health Center Past Accepting new patients

Locations

6000 Lamar Ave
#130
Mission, KS 66202
Phone (913) 826-4200

1125 W Spruce St
Olathe, KS 66061
Phone (913) 782-2100

920 W Spruce St
Olathe, KS 66061
Phone (913) 826-4200

11120 W 65th St
Shawnee, KS 66203
Phone (913) 826-4100

6440 Nieman Rd
Shawnee, KS 66203
Phone (913) 826-4200

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000

17611 E US Highway 24
#H
Independence, MO 64056
Phone (816) 836-6350

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

4231 S Hocker Dr
Independence, MO 64055
Phone (816) 350-3103

7447 Holmes Rd
Kansas City, MO 64131
Phone (816) 569-6360

1795 W Main St
Sedalia, MO 65301
Phone (660) 285-9270

201 W 3rd St
Sedalia, MO 65301
Phone (660) 827-2494

1300 E Bradford Pkwy
#H
Springfield, MO 65804

1300 E Bradford Pkwy
Bldg A
Springfield, MO 65804
Phone (417) 761-5214

800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cameron-3ccdc40c

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1003886888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17844 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571840",
            "telephone_number": "816-836-6705",
            "fax_number": "816-257-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17844 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571840",
            "telephone_number": "816-836-6705",
            "fax_number": "816-257-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653014352",
            "country_code": "US",
            "telephone_number": "660-827-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7447 Holmes Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311691",
            "country_code": "US",
            "telephone_number": "816-836-6720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1795 W Main St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653013634",
            "country_code": "US",
            "telephone_number": "660-285-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4231 S Hocker Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640554723",
            "country_code": "US",
            "telephone_number": "816-254-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018372",
            "country_code": "US",
            "telephone_number": "573-777-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17421 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571805",
            "country_code": "US",
            "telephone_number": "816-455-9975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016425",
            "country_code": "US",
            "telephone_number": "573-777-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658024855",
            "country_code": "US",
            "telephone_number": "417-893-7735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 LAMAR AVE",
            "address_2": "STE 130",
            "address_purpose": "LOCATION",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023234",
            "country_code": "US",
            "telephone_number": "913-831-2550",
            "fax_number": "913-826-1589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E Bradford Pkwy Bldg A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044264",
            "country_code": "US",
            "telephone_number": "417-761-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFIE",
        "first_name": "SOBIA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "2000164191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208398008",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "30130012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098010B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.