Clinical Associates PA
Organization Active NPI Specialist · Lenexa, KS
NPI 1477588085 · NPPES record last updated Mar 17, 2016
Key facts
- NPI
- 1477588085
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CLINICAL ASSOCIATES PA
- Practice address
- 8629 Bluejacket St
Ste 100
Lenexa, KS 66214-1604 - Phone
- (913) 677-3553
- Fax
- (913) 677-3282
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Bruce Michael Cappo, PH D
- Title
- Owner/Operator
- Phone
- (913) 677-3553
Practitioners 123
-
Ethan Edwin Bickelhaupt, M.D.
-
Bruce Michael Cappo, PH D
-
Michael Crowley, LSCSW
-
Appoloniah Kimani, APRN
-
Megan Lowe, LMLP
-
Edward Allyn McNeil, LPC
-
Robert L McRoberts, PHD
-
Hilder Njoroge, PMHNP-BC
-
Mary Pitman, LPC
-
Marc A Schlosberg, PH D
-
Landry Laure Tafang, APRN
-
Stuart Neal Waldman, LSCSW, LCSW
-
Sandy Currie, LSCSW, LCSW
-
Julie Ann Al-Azzeh, APRN
-
Tamara L Farmer, ARNP
-
Sheila Elizabeth Swearngin, PHD, CEDS
-
Tabitha Rae Attreau, APRN, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051029000300 | KS | Part B Supplier - Clinic/Group Practice | 9739084112 |
Receives reassigned benefits from 49 practitioners Practice locations: Lenexa, KS |
National Provider Directory
Locations
8629 Bluejacket St
Ste 100
Overland Park, KS 66214
Phone (913) 677-3553
8629 Bluejacket St
Overland Park, KS 66214
Phone (913) 677-3553
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
8629 Bluejacket St
Ste 100
Lenexa, KS 66214-1604
Mailing address
8629 Bluejacket St
Ste 100
Lenexa, KS 66214-1604
Phone (913) 677-3553
Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.