Active NPI
Stephen W. Corey, PH.D.
- Psychologist
- Kansas City, MO
National Provider Identifier
1629096961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 01183
- Practice address
- 4901 Main St
Ste. 401
Kansas City, MO 64112-2646 - Phone
- (816) 753-7071
- Fax
- (816) 753-8189
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY 01183 | MO | Primary |
Addresses
Primary practice location
4901 Main St
Ste. 401
Kansas City, MO 64112-2646
Mailing address
4901 Main St
Ste. 401
Kansas City, MO 64112-2646
Phone (816) 753-7071
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100901 | Other | MHN | |
| 12161014 | Other | MO | BC/BS KC |
| 603915 | Other | KS | BC/BS KS |
| 10006 | Other | CIGNA | |
| A226292 | Other | VALUE OPTIONS |
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 |
|---|---|---|---|
| PY 01183 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629096961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 MAIN ST",
"address_2": "STE. 401",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641122646",
"telephone_number": "816-753-7071",
"fax_number": "816-753-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 MAIN ST",
"address_2": "STE. 401",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641122646",
"telephone_number": "816-753-7071",
"fax_number": "816-753-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COREY",
"first_name": "STEPHEN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PY 01183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "100901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS KC",
"identifier": "12161014",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS KS",
"identifier": "603915",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A226292",
"state": null
}
],
"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.