Active NPI
John Worley, PH.D.
- Psychologist
- Kansas City, MO
National Provider Identifier
1619165206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- R0332
- Practice address
- 9411 N Oak Trfy
Suite 210
Kansas City, MO 64155-2233 - Phone
- (816) 412-2900
- NPI assigned
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | R0332 | MO | Primary |
| Psychologist | 103T00000X | 841 | KS |
Addresses
Primary practice location
9411 N Oak Trfy
Suite 210
Kansas City, MO 64155-2233
Mailing address
14422 S Chalet Dr
Olathe, KS 66062-2529
Phone (913) 829-0658
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 841 | KS | MD | Psychologist |
| R0332 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1619165206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14422 S CHALET DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660622529",
"telephone_number": "913-829-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 N OAK TRFY",
"address_2": "SUITE 210",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552233",
"telephone_number": "816-412-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "JOHN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "R0332",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.