Personal & Family Development Services PTR

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00112 Issued in MO

Legal business name

PERSONAL & FAMILY DEVELOPMENT SERVICES PTR

Practice address

4400 Broadway St
Suite 410
Kansas City, MO 64111-3498

Phone

(816) 756-0684

Fax

(816) 756-0604

NPI assigned

May 17, 2007

Last updated

Feb 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Riley James Bishop, L.C.S.W.NPI 1952458606

Title

Office Manager

Phone

(816) 756-0684

Specialties & licenses 1

Addresses

Locations

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.

• Riley James Bishop, L.C.S.W.

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1952458606
  Authorized official Same address or phone

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1578770954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-756-0684",
            "fax_number": "816-756-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-756-0684",
            "fax_number": "816-756-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL & FAMILY DEVELOPMENT SERVICES PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-756-0684",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY00112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olayinka Omowunmi Perry
• Tammy Marie Perry, PTA
• Douglas R Perryman, MD
• Kathy Marie Perryman, M.D.
• Sara Perrymann
• Personal and Family Development Associates, Inc.
• Personalized Acute Medical Transportation LLC
• Mark E Persson, DDS
• Micah Pescetto, DO
• Benjamin Petelin, DO

• Clinical Psychologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.