Organization Active NPI

Paradigm Psych,LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisonville, MO
National Provider Identifier
1649104373
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PARADIGM PSYCH,LLC
Practice address
117 S Lexington St Ste 100
Harrisonville, MO 64701-2443
Phone
(816) 464-6400
NPI assigned
Jun 9, 2026
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie O'Halloran-Wilkerson, PMHNP-BCNPI 1811630494
Title
Ceo
Phone
(816) 865-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

117 S Lexington St Ste 100
Harrisonville, MO 64701-2443

Mailing address

117 S Lexington St Ste 100
Harrisonville, MO 64701-2443
Phone (816) 865-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260625002510 MO Part B Supplier - Clinic/Group Practice 1153894605 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisonville, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1649104373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S LEXINGTON ST STE 100",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012443",
            "telephone_number": "816-865-6400",
            "fax_number": "314-464-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S LEXINGTON ST STE 100",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012443",
            "telephone_number": "816-464-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM PSYCH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "O'HALLORAN-WILKERSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-865-6400",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.

Verify at the official NPI Registry.