Northland Psychological Assessment Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

2013004423 Issued in MO

Legal business name

NORTHLAND PSYCHOLOGICAL ASSESSMENT SERVICES, LLC

Practice address

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

Phone

(816) 436-0371

Fax

(816) 436-0383

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Bertrand Murch, PH.D.NPI 1154660843

Title

Owner

Phone

(816) 436-0371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Bertrand Murch, PH.D.

  • Clinical Psychologist
  • Gladstone, MO
  • NPI 1154660843
  NPD (past) Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1154754794",
    "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": {
        "organization_name": "NORTHLAND PSYCHOLOGICAL ASSESSMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "MURCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BERTRAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-436-0371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MO",
            "license": "2013004423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nicholson, PT, DPT
• Carter Nickell
• Northland Behavioral Health & Wellness, LLC
• Northland Dental
• Northland Internal Medicine M.D.'S P.C.
• Northland Pyschiatric Specialists, LLC
• Northland Urgent Care LLC
• Lisa M Nutt, O.D.
• Melissa Oeffner
• Erin Jean Ortiz, MOTR/L

• Adult Mental Health Clinic/Center in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.