Individual provider Active NPI

Brian Douglas Paul, PH.D.

  • Counseling Psychologist
  • Kansas City, MO
National Provider Identifier
1437186913
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2003023863 Issued in MO
Practice address
222 W Gregory Blvd Ste 323
Kansas City, MO 64114-1127
Phone
(816) 492-5288
Fax
(844) 875-0741
NPI assigned
Jun 28, 2006
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1359 KS
Counseling Psychologist 103TC1900X 2003023863 MO Primary

Addresses

Primary practice location

222 W Gregory Blvd Ste 323
Kansas City, MO 64114-1127

Mailing address

222 W Gregory Blvd Ste 323
Kansas City, MO 64114-1127
Phone (816) 492-5288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001475 MO Practitioner - Clinical Psychologist 1850389909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

222 W Gregory Blvd
Suite 323
Kansas City, MO 64114-1127
Phone (816) 492-5288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2003023863MOMDCounseling Psychologist
1359KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brian D Paul LLC Counseling CurrentSince Nov 1, 2003 Accepting new patients
David P Ehman PHD LLC Past Accepting new patients

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1437186913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD STE 323",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141127",
            "telephone_number": "816-492-5288",
            "fax_number": "844-875-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD STE 323",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141127",
            "telephone_number": "816-492-5288",
            "fax_number": "844-875-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "1359",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2003023863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.