Active NPI
Kansas City Psychology Center, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Blue Springs, MO
National Provider Identifier
1013460682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 2007033941
- Legal business name
- KANSAS CITY PSYCHOLOGY CENTER, LLC
- Practice address
- 2307 NW South Outer Rd
Blue Springs, MO 64015-7254 - Phone
- (816) 301-7916
- Fax
- (816) 447-3944
- NPI assigned
- Jul 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shawn McDaniel, PSY.D.
- Title
- Psychologist/Owner
- Phone
- (816) 301-7916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 2007033941 | MO | Primary |
Addresses
Primary practice location
2307 NW South Outer Rd
Blue Springs, MO 64015-7254
Mailing address
605 SW US Highway 40 Ste 159
Blue Springs, MO 64014-3232
Phone (816) 301-7916
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469750400000",
"number": "1013460682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 SW US HIGHWAY 40 STE 159",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640143232",
"telephone_number": "816-301-7916",
"fax_number": "816-447-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 NW SOUTH OUTER RD",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640157254",
"telephone_number": "816-301-7916",
"fax_number": "816-447-3944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANSAS CITY PSYCHOLOGY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-29",
"last_updated": "2016-07-29",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "816-301-7916",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MO",
"license": "2007033941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.