Individual provider Active NPI

Patrick Dolan Caffrey, PH.D.

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1144434028
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY01379 Issued in MO
Practice address
8301 State Line Rd
Ste 200
Kansas City, MO 64114-2019
Phone
(816) 363-5600
Fax
(816) 363-5159
NPI assigned
May 9, 2007
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY01379 MO Primary

Addresses

Primary practice location

8301 State Line Rd
Ste 200
Kansas City, MO 64114-2019

Mailing address

8301 State Line Rd
Ste 200
Kansas City, MO 64114-2019
Phone (816) 363-5600

Other identifiers 1

IdentifierTypeStateIssuer
20264029OtherBCBS

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: No
  • 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY01379MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Responsive Management Clinic, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1144434028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 STATE LINE RD",
            "address_2": "STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142019",
            "telephone_number": "816-363-5600",
            "fax_number": "816-363-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 STATE LINE RD",
            "address_2": "STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142019",
            "telephone_number": "816-363-5600",
            "fax_number": "816-363-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFREY",
        "first_name": "PATRICK",
        "middle_name": "DOLAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20264029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.