Starboard Therapy and Coaching

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STARBOARD THERAPY AND COACHING

Practice address

107 W 9TH St
Kansas City, MO 64105-1705

Phone

(816) 659-3202

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Meagan Leigh Dwyer, PH.D.NPI 1700169968

Title

Owner

Phone

(816) 659-3202

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

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

• Meagan Leigh Dwyer, PH.D.

  • Clinical Psychologist
  • Kansas City, KS
  • NPI 1700169968

  MO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1326759150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 9TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051705",
            "telephone_number": "816-659-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 9TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051705",
            "telephone_number": "816-659-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBOARD THERAPY AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-659-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700169968",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Stanley, R.PH.
• Sydney Lynn Stansbury, LPC
• Danny K Stanton, M.D.
• Grace B Stanton, RN, BSN
• Mary Lynn Stanton, DMD, FAGD
• Amy Marie Stark
• Brooke Stark
• Steven Paul Stark, M.D.
• Warren Carlton Stark, DO
• Hannah Elizabeth Starke, PLPC

• Community/Behavioral Health Agency in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.