KC Psychological Solutions, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 2191 Issued in KS

Legal business name

KC PSYCHOLOGICAL SOLUTIONS, LLC

Practice address

4500 College Blvd
Leawood, KS 66211-1916

Phone

(913) 323-6528

NPI assigned

Nov 22, 2013

Last updated

Nov 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Tiegreen, PH.D.

Title

Clinical Psychologist/Owner

Phone

(913) 323-6528

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1174953442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9829 OVERBROOK CT",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062352",
            "telephone_number": "919-381-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111916",
            "telephone_number": "913-323-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PSYCHOLOGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "TIEGREEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "913-323-6528",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP 2191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.