Individual provider Active NPI

Lauren Renea McMiller, PSYD

  • Clinical Psychologist
  • Kansas City, MO
National Provider Identifier
1093374498
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2017043941 Issued in MO
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

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017043941MOMDClinical Psychologist
6158TXMDSocial Worker
6158COMDMassage Therapist
024836NYMDSpeech-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

Verify at the official NPI Registry.