NPIMap

Individual provider Active NPI

Kevin Bertrand Murch, PH.D.

  • Clinical Psychologist
  • Gladstone, MO
National Provider Identifier
1154660843
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2013004423 Issued in MO
Practice address
6812 N Oak Trfy
Suite 1
Gladstone, MO 64118-2537
Phone
(816) 436-0371
Fax
(816) 436-0383
NPI assigned
Jan 31, 2013
Last updated
Aug 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 35200 TX
Clinical Psychologist 103TC0700X 2013004423 MO Primary
Forensic Psychologist 103TF0200X 2013004423 MO
Health Psychologist 103TH0004X 2013004423 MO

Addresses

Primary practice location

6812 N Oak Trfy
Suite 1
Gladstone, MO 64118-2537

Mailing address

6812 N Oak Trfy
Suite 1
Gladstone, MO 64118-2537
Phone (816) 436-0371

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2013004423MOMDClinical Psychologist
35200TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Psychological Assessment Services, LLC Past Accepting new patients

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, 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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1154660843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 N OAK TRFY",
            "address_2": "SUITE 1",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182537",
            "telephone_number": "816-436-0371",
            "fax_number": "816-436-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 N OAK TRFY",
            "address_2": "SUITE 1",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182537",
            "telephone_number": "816-436-0371",
            "fax_number": "816-436-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURCH",
        "first_name": "KEVIN",
        "middle_name": "BERTRAND",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "35200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2013004423",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MO",
            "license": "2013004423",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MO",
            "license": "2013004423",
            "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 Aug 23, 2013; 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.