Individual provider Active NPI

Stephen Thomas Sirridge, PH.D.

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1487793055
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
000909 Issued in MO
Practice address
9229 Ward Parkway
Suite 225
Kansas City, MO 64114-3311
Phone
(816) 444-5511
Fax
(816) 822-8058
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 000909 MO Primary

Addresses

Primary practice location

9229 Ward Parkway
Suite 225
Kansas City, MO 64114-3311

Mailing address

9229 Ward Parkway
Suite 225
Kansas City, MO 64114-3311
Phone (816) 444-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000909MOMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1487793055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 WARD PARKWAY",
            "address_2": "SUITE 225",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143311",
            "telephone_number": "816-444-5511",
            "fax_number": "816-822-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WARD PARKWAY",
            "address_2": "SUITE 225",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143311",
            "telephone_number": "816-444-5511",
            "fax_number": "816-822-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRRIDGE",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "000909",
            "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 Feb 26, 2014; 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.