Organization Active NPI

Brian D Paul LLC

  • Counseling Psychologist
  • Kansas City, MO
National Provider Identifier
1275753832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2003023863 Issued in MO
Legal business name
BRIAN D PAUL LLC
Practice address
411 Nichols Rd Ste 194
Kansas City, MO 64112-2014
Phone
(816) 531-2600
Fax
(816) 531-2754
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian D Paul, PH.D.NPI 1437186913
Title
Psychologist
Phone
(816) 531-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 2003023863 MO Primary

Addresses

Primary practice location

411 Nichols Rd Ste 194
Kansas City, MO 64112-2014

Mailing address

411 Nichols Rd Ste 194
Kansas City, MO 64112-2014
Phone (816) 531-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000424 MO Part B Supplier - Clinic/Group Practice 3870690084 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

222 W Gregory Blvd
Ste 323
Kansas City, MO 64114
Phone (816) 492-5288

411 Nichols Rd
Ste 194
Kansas City, MO 64112
Phone (816) 531-2600

315 Nichols Rd
Ste 238
Kansas City, MO 64112
Phone (816) 492-5288

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275753832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD STE 194",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122014",
            "telephone_number": "816-531-2600",
            "fax_number": "816-531-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NICHOLS RD STE 194",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122014",
            "telephone_number": "816-531-2600",
            "fax_number": "816-531-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D PAUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "816-531-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2003023863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.