Personal and Family Development Associates, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW002967 Issued in MO

Legal business name

PERSONAL AND FAMILY DEVELOPMENT ASSOCIATES, INC.

Practice address

4400 Broadway St
Suite 410
Kansas City, MO 64111-3498

Phone

(816) 756-0684

Fax

(816) 756-0604

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Riley James Bishop, L.C.S.W.

Title

Office Manager

Phone

(816) 756-0684

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205043205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-756-0684",
            "fax_number": "816-756-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-756-0684",
            "fax_number": "816-756-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL AND FAMILY DEVELOPMENT ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-756-0684",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY00112",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "0441",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW002967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Marie Perry, PTA
• Douglas R Perryman, MD
• Kathy Marie Perryman, M.D.
• Sara Perrymann
• Personal & Family Development Services PTR
• Personalized Acute Medical Transportation LLC
• Mark E Persson, DDS
• Micah Pescetto, DO
• Benjamin Petelin, DO
• Nicholas J. Petelin, CRNA

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.