Active NPI
Lauren Renea McMiller, PSYD
- Clinical Psychologist
- Kansas City, MO
National Provider Identifier
1093374498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2017043941
- Practice address
- 1000 E 24TH St
Kansas City, MO 64108-2776 - Phone
- (816) 404-3893
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2017043941 | MO | Primary |
Addresses
Primary practice location
1000 E 24TH St
Kansas City, MO 64108-2776
Mailing address
9406 E 63Rd St
Raytown, MO 64133-4904
Phone (816) 356-1000
Other practice location 1
9406 E 63rd St
Raytown, MO 64133-4904
Phone (816) 356-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017043941 | MO | MD | Clinical Psychologist |
| 6158 | TX | MD | Social Worker |
| 6158 | CO | MD | Massage Therapist |
| 024836 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1093374498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9406 E 63RD ST",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641334904",
"telephone_number": "816-356-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 24TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082776",
"telephone_number": "816-404-3893"
}
],
"practiceLocations": [
{
"address_1": "9406 E 63rd St",
"address_purpose": "LOCATION",
"city": "Raytown",
"state": "MO",
"postal_code": "641334904",
"country_code": "US",
"telephone_number": "816-356-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLER",
"first_name": "LAUREN",
"middle_name": "RENEA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2017043941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.