Individual provider Active NPI

Raquel Craney, PHD

  • Cognitive & Behavioral Psychologist
  • Kansas City, MO
National Provider Identifier
1558080606
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
2023040330 Issued in MO
Practice address
3130 Troost Ave Ste 202
Kansas City, MO 64109-1844
Phone
(913) 214-6218
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 2023040330 MO Primary

Addresses

Primary practice location

3130 Troost Ave Ste 202
Kansas City, MO 64109-1844

Mailing address

3130 Troost Ave Ste 202
Kansas City, MO 64109-1844
Phone (913) 214-6218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 18, 2023 through Oct 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2023040330MOMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1558080606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 TROOST AVE STE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091844",
            "telephone_number": "913-214-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 TROOST AVE STE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091844",
            "telephone_number": "913-214-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANEY",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MO",
            "license": "2023040330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.