Active NPI
Phyllis Marie Carozza, PH.D.
- Psychologist
- Kansas City, MO
National Provider Identifier
1306982038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00707
- Practice address
- 9233 Ward Pkwy
Suite 147
Kansas City, MO 64114-3366 - Phone
- (816) 361-6600
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00707 | MO | Primary |
Addresses
Primary practice location
9233 Ward Pkwy
Suite 147
Kansas City, MO 64114-3366
Mailing address
9233 Ward Pkwy
Suite 147
Kansas City, MO 64114-3366
Phone (816) 361-6600
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00707 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306982038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9233 WARD PKWY",
"address_2": "SUITE 147",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641143366",
"telephone_number": "816-361-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9233 WARD PKWY",
"address_2": "SUITE 147",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641143366",
"telephone_number": "816-361-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROZZA",
"first_name": "PHYLLIS",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "00707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
- Carondelet Health
- Carondelet Long Term Care Facilities Inc (Carondelet Manor)
- Carondelet Physician Services, Inc (Carondelet Family Medical Care)
- Carondelet Primary Care Network Dba Carondelet Specialty Care Network
- Carondelet Primary Care Network, Inc (Carondelet Specialty Care Network)
- Amy Callaway Carpenter, APRN
- Christopher Carpenter, CRNA
- Chrystee Carpenter, M.A.
- Ellen Catherine Carpenter, CPNP
- Ellen Kay Carpenter, ANP
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.