Active NPI
Michael Ragan, MS
- Psychologist
- Blue Springs, MO
National Provider Identifier
1619907649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00337
- Practice address
- 1932 Copper Oaks Circle
Blue Springs, MO 64015 - Phone
- (816) 228-9811
- Fax
- (816) 228-0748
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00337 | MO | Primary |
Addresses
Primary practice location
1932 Copper Oaks Circle
Blue Springs, MO 64015
Mailing address
1932 Copper Oaks Circle
Crittenton Blue Springs Clinic
Blue Springs, MO 64015
Phone (816) 228-9811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727003519 | MO | Practitioner - Psychologist Billing Independently | 4789045402 | Practice locations: Kansas City, MO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00337 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619907649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 COPPER OAKS CIRCLE",
"address_2": "CRITTENTON BLUE SPRINGS CLINIC",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64015",
"telephone_number": "816-228-9811",
"fax_number": "816-228-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 COPPER OAKS CIRCLE",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64015",
"telephone_number": "816-228-9811",
"fax_number": "816-228-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGAN",
"first_name": "MICHAEL",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PY00337",
"primary": true
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.