Organization Active NPI

Jeevanba Psychological Services LLC

  • Adult Mental Health Clinic/Center
  • Kansas City, MO
National Provider Identifier
1477498764
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JEEVANBA PSYCHOLOGICAL SERVICES LLC
Practice address
731 E 62ND St
Kansas City, MO 64110-3381
Phone
(816) 974-3965
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Dr. Sathya Baanu Jeevanba, PHDNPI 1265214332
Title
Licensed Psychologist
Phone
(816) 905-8936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

731 E 62ND St
Kansas City, MO 64110-3381

Mailing address

731 E 62ND St
Kansas City, MO 64110-3381
Phone (816) 974-3965

Other practice location 1

4104 Central St
Kansas City, MO 64111-2307
Phone (816) 974-3965

National Provider Directory

National Provider Directory

Locations

4104 Central St
Kansas City, MO 64111
Phone (816) 582-3877

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1477498764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E 62ND ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103381",
            "telephone_number": "816-974-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E 62ND ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641103381",
            "telephone_number": "816-974-3965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4104 Central St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641112307",
            "country_code": "US",
            "telephone_number": "816-974-3965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEEVANBA PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "JEEVANBA",
        "authorized_official_first_name": "SATHYA",
        "authorized_official_middle_name": "BAANU",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "816-905-8936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 22, 2026; 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.