Active NPI
Paula Carol Kresser, PH.D.
- Psychologist
- Kansas City, MO
National Provider Identifier
1629063011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00756
- Practice address
- 4520 Madison Ave
Kansas City, MO 64111-3587 - Phone
- (816) 531-2900
- Fax
- (816) 531-2901
- NPI assigned
- Sep 13, 2005
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00756 | MO | Primary |
Addresses
Primary practice location
4520 Madison Ave
Kansas City, MO 64111-3587
Mailing address
15419 N Bales Rd
Smithville, MO 64089-8190
Phone (816) 532-4583
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00765 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Plaza Group, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Kansas City, MO
- NPI 1376552034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629063011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15419 N BALES RD",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640898190",
"telephone_number": "816-532-4583",
"fax_number": "816-532-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 MADISON AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113587",
"telephone_number": "816-531-2900",
"fax_number": "816-531-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESSER",
"first_name": "PAULA",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "00756",
"primary": true
}
],
"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 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.