Amy Marie Shoffner, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2005004519 Issued in MO

Practice address

9 NE Munger Ave
Kansas City, MO 64119-3013

Phone

(816) 420-3130

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tri-County Mental Health Services, IncGroup PAC ID 8426950718, 35 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.92 of 100Reported as group

Quality

36.72

Improvement activities

40

Cost

82.4

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/aa9a3bec-4c8c-4fc5-b283-495def30e623/
• FHIR API: https://api.platform.athenahealth.com/380/brand/6/csg/181/fhir/r4
• FHIR API: https://epicmobile.presencehealth.org/fhirPRD/api/FHIR/R4/

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.

• Northland Behavioral Health & Wellness, LLC

  • Psychologist
  • Gladstone, MO
  • NPI 1750615829

  Clinical

  Medicare reassignment NPD Authorized official
• Tri-County Mental Health Services, Inc.

  dba Beacon Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1629080965
  Medicare reassignment Care Compare group NPD
• Alexian Brothers Behavioral Health Hospital

  • Psychiatric Hospital
  • Hoffman Estates, IL
  • NPI 1013017839
  NPD (past)
• Alexian Brothers Behavioral Health Hospital

  dba Alexian Brothers Behavioral Health Hospital Outpatient Group Practice

  • Psychiatry Physician
  • Hoffman Estates, IL
  • NPI 1801318928

  Clinical

  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225139553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 NE 103RD CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641562904",
            "telephone_number": "816-429-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NE MUNGER AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641193013",
            "telephone_number": "816-420-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFFNER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2005004519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoal Creek Family Medicine and Allergy, PC
• Shoal Creek Pediatric Dentistry, L.L.C.
• Garrett Cole Shobe, PHARMD
• Cheryl Lynn Shockley
• Stephen C Shoe, PHARMD
• Kalee Shonk, PT, DPT
• Erin L Shonkwiler, APRN
• Robert Burton Shonkwiler, P.L.P.C.
• John Edmunds Shook
• John W Shook, MD

• Clinical Psychologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Psychologist in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.