Individual provider Active NPI

Kathryn McLean Sirridge, PH.D.

  • Counseling Psychologist
  • Kansas City, MO
National Provider Identifier
1124462189
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2015007530 Issued in MO
Practice address
9229 Ward Pkwy Ste 225
Kansas City, MO 64114-3311
Phone
(816) 444-5511
Fax
(816) 822-8058
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2015007530 MO Primary

Addresses

Primary practice location

9229 Ward Pkwy Ste 225
Kansas City, MO 64114-3311

Mailing address

9229 Ward Pkwy Ste 225
Kansas City, MO 64114-3311
Phone (913) 579-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2015007530MOMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kate Sirridge, PH.D. LLC Counseling Current Accepting new patients

Locations

9229 Ward Pkwy
Ste 225
Kansas City, MO 64114
Phone (816) 444-5511

Interoperability endpoints

  • Direct secure messaging: kathryn.sirridge@hca2.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1124462189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY STE 225",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143311",
            "telephone_number": "913-579-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY STE 225",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143311",
            "telephone_number": "816-444-5511",
            "fax_number": "816-822-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRRIDGE",
        "first_name": "KATHRYN",
        "middle_name": "MCLEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2015007530",
            "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 Apr 15, 2015; 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.