Organization Active NPI

Ravinder Goswami LLC

  • Psychologist
  • Blue Springs, MO
National Provider Identifier
1609121912
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2009024411 Issued in MO
Legal business name
RAVINDER GOSWAMI LLC
Practice address
1080 NW South Outer Rd
Blue Springs, MO 64015-3087
Phone
(816) 228-5335
NPI assigned
Jul 24, 2012
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Dr. Ravinder Goswami, M.D
Title
Owner
Phone
(816) 569-0563

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2009024411 MO Primary
Assisted Living Facility 310400000X 2009024411 MO
Assisted Living Facility 310400000X 0435222 KS
Assisted Living Facility (Mental Illness) 3104A0625X 0435222 KS
Skilled Nursing Facility 314000000X 2009024411 MO
Skilled Nursing Facility 314000000X 0435222 KS

Addresses

Primary practice location

1080 NW South Outer Rd
Blue Springs, MO 64015-3087

Mailing address

5311 NW 60TH St
Kansas City, MO 64151-4381
Phone (816) 569-0563

National Provider Directory

National Provider Directory

Locations

1080 NW South Outer Rd
Blue Springs, MO 64015
Phone (816) 228-5335

100 N E Saint Lukes Blvd
Saint Lukes Hospital Lee SMT
Lees Summit, MO 64086

1103 S Broadway
Unit B
Oak Grove, MO 64075
Phone (816) 934-0110

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1609121912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 NW 60TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641514381",
            "telephone_number": "816-569-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NW SOUTH OUTER RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153087",
            "telephone_number": "816-228-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDER GOSWAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "GOSWAMI",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-569-0563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2009024411",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "2009024411",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "0435222",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "KS",
            "license": "0435222",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2009024411",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "0435222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.