Active NPI
Kit L Welsh, PSY.D.
- Clinical Psychologist
- Saint Joseph, MO
National Provider Identifier
1619060423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2006029923
- Practice address
- 3505 Frederick Ave
Saint Joseph, MO 64506-2914 - Phone
- (816) 387-2300
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2006029923 | MO | Primary |
Addresses
Primary practice location
3505 Frederick Ave
Saint Joseph, MO 64506-2914
Mailing address
3505 Frederick Ave
Saint Joseph, MO 64506-2914
Phone (816) 387-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006029923 | Other | MO | PSYCHOLOGIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006029923 | MO | MD | Clinical Psychologist |
| 029923 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619060423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 FREDERICK AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062914",
"telephone_number": "816-387-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 FREDERICK AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062914",
"telephone_number": "816-387-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSH",
"first_name": "KIT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2006029923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE",
"identifier": "2006029923",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.