Active NPI
Tonja J Speer, MA
- Clinical Psychologist
- Kansas City, KS
National Provider Identifier
1194874438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LCP 068
- Practice address
- 7840 Washington Ave
Kansas City, KS 66112-2152 - Phone
- (913) 328-4696
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LCP 068 | KS | Primary |
Addresses
Primary practice location
7840 Washington Ave
Kansas City, KS 66112-2152
Mailing address
7810 N Revere Dr
Kansas City, MO 64151-4422
Phone (913) 328-4696
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCP 068 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194874438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7810 N REVERE DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641514422",
"telephone_number": "913-328-4696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 WASHINGTON AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661122152",
"telephone_number": "913-328-4696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEER",
"first_name": "TONJA",
"middle_name": "J",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "LCP 068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.