Organization Active NPI

Psychological Educational Associates

  • Clinical Psychologist
  • Kansas City, MO
National Provider Identifier
1326256264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PSYCHOLOGICAL EDUCATIONAL ASSOCIATES
Practice address
8080 Ward Pkwy
Suite 115
Kansas City, MO 64114-2034
Phone
(816) 361-1113
Fax
(816) 361-0856
NPI assigned
May 21, 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. Marilyn N Metzl, PH.D.
Title
President
Phone
(816) 361-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

8080 Ward Pkwy
Suite 115
Kansas City, MO 64114-2034

Mailing address

8080 Ward Pkwy
Suite 115
Kansas City, MO 64114-2034
Phone (816) 361-1113

Other identifiers 1

IdentifierTypeStateIssuer
20002465800OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8080 Ward Pkwy
Ste 115
Kansas City, MO 64114
Phone (816) 266-0756

Practitioners & affiliated clinicians

Practitioners 1

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326256264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 WARD PKWY",
            "address_2": "SUITE 115",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142034",
            "telephone_number": "816-361-1113",
            "fax_number": "816-361-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 WARD PKWY",
            "address_2": "SUITE 115",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142034",
            "telephone_number": "816-361-1113",
            "fax_number": "816-361-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL EDUCATIONAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METZL",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-361-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20002465800",
            "state": "MO"
        }
    ],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.