Organization Active NPI

Kansas City Psychology Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blue Springs, MO
National Provider Identifier
1013460682
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2007033941 Issued in MO
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

Updated by the provider on Jul 29, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.