Blue Springs Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00986 Issued in MO

Legal business name

BLUE SPRINGS PSYCHOLOGICAL SERVICES LLC

Practice address

1924 NW Copper Oaks Cir
Blue Springs, MO 64015-8300

Phone

(816) 224-6500

Fax

(816) 224-2777

NPI assigned

May 22, 2007

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Leo Miller, PHDNPI 1700806098

Title

Owner

Phone

(816) 224-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Leo Miller, PH.D.

  • Psychologist
  • Blue Springs, MO
  • NPI 1700806098
  NPD Authorized official
• Lennis J. Marvel, MSW

  • Clinical Social Worker
  • Blue Springs, MO
  • NPI 1366423337
  NPD
• Tracy E Ochester, PSY.D.

  • Clinical Psychologist
  • Leawood, KS
  • NPI 1639117575
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1376753301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 NW COPPER OAKS CIR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158300",
            "telephone_number": "816-224-6500",
            "fax_number": "816-224-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 NW COPPER OAKS CIR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158300",
            "telephone_number": "816-224-6500",
            "fax_number": "816-224-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRINGS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-224-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY00986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1700806098",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Springs Dental, LLC (Blue Springs Dental)
• Blue Springs Emergency Physician Services PC
• Blue Springs Family Care PC
• Blue Springs Family Eye Care, Inc.
• Blue Springs Internal Medicine
• Blue Springs R-IV School District
• Blue Springs Wellness & Rehabilitation LLC (Blue Springs Wellness & Rehabilitation)
• Bluesprings Group Inc
• Gary E. Bodenhausen, M.D.
• Ben Boecklen

• Psychologist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.