Amelia Davenport, Concinnity Group

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

2007015259 Issued in MO

Legal business name

AMELIA DAVENPORT, CONCINNITY GROUP

Practice address

1104 SE Graham Ridge Rd
Blue Springs, MO 64014-4101

Phone

(816) 225-0562

NPI assigned

May 25, 2007

Last updated

Jan 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amelia S. Davenport, PSY.D.

Title

Owner

Phone

(816) 225-0562

Specialties & licenses 3

Addresses

Other names 1

• Clinical Associates, PA Other name

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231027200000",
    "number": "1043421480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 SE GRAHAM RIDGE RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640144101",
            "telephone_number": "816-225-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 SE GRAHAM RIDGE RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640144101",
            "telephone_number": "816-225-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA DAVENPORT, CONCINNITY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2009-01-04",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-225-0562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "LPC-2004033828",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "LP-1639",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MO",
            "license": "2007015259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Associates, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Service Psychologist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Health Service Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; 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.