Stephen Joseph Baich
Individual provider Active NPI Clinical Psychologist · Kansas City, MO
NPI 1508989146 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1508989146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2000159801 (MO)
- Practice address
- 4801 E Linwood Blvd
Kansas City, MO 64128-2226 - Phone
- (816) 861-4700
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 1095 | KS | MD | Clinical Psychologist |
| 2000159801 | MO | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP 1095 | KS | |
| Clinical Psychologist | 103TC0700X | 2000159801 | MO | Yes |
Addresses
Primary practice location
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Mailing address
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495005019 | Medicaid | MO |
Other providers in Kansas City, MO
- Carl Albert Bahr
- Craig Anthony Bahr
- Olivia Bahr
- Shayna N Bahr
- Ashkaan Bahreini
- Baig Medical LLC
- Mirza Waseem Mohammad Baig
- Jesse Bailey-Trautman
- Alison Bailey
- Fred E Bailey
All providers in Kansas City, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.