Active NPI
Amity Mental Health
- Clinical Child & Adolescent Psychologist
- Gladstone, MO
National Provider Identifier
1134974355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Legal business name
- AMITY MENTAL HEALTH
- Practice address
- 7101 N Cherry St
Gladstone, MO 64118-2644 - Phone
- (816) 400-8739
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Samantha Lemon
- Title
- President, Co-Founder, Co-Ceo, Cxo
- Phone
- (816) 400-8739
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
7101 N Cherry St
Gladstone, MO 64118-2644
Mailing address
7101 N Cherry St
Gladstone, MO 64118-2644
Phone (816) 400-8739
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1134974355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 N CHERRY ST",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641182644",
"telephone_number": "816-400-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 N CHERRY ST",
"city": "GLADSTONE",
"state": "MO",
"postal_code": "641182644",
"telephone_number": "816-400-8739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMITY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-21",
"status": "A",
"authorized_official_last_name": "LEMON",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "PRESIDENT, CO-FOUNDER, CO-CEO, CXO",
"authorized_official_telephone_number": "816-400-8739",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladstone, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.