Roseanne Marie Middleton, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2005032794 Issued in MO

Practice address

222 W Gregory Blvd Ste 100
Kansas City, MO 64114-1127

Phone

(816) 361-0664

NPI assigned

Apr 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Middleton Psychology Services, LLCGroup PAC ID 3274910575, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Middleton Psychology Services, LLC

  • Clinical Psychologist
  • Frederick, MD
  • NPI 1134579626

  Clinical, MD

  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Columbia, MD
  • NPI 1518732833

  MD

  Medicare reassignment Care Compare group NPD
• Columbia Counseling Center P.a.

  • Mental Health Counselor
  • Columbia, MD
  • NPI 1578504296

  Clinical

  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Mount Airy, MD
  • NPI 1679467138
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD
• BPH LLC

  • Professional Counselor
  • Kansas City, MO
  • NPI 1770989303
  NPD (past)
• Hutchinson & Associates LLC

  • Psychologist
  • Kansas City, MO
  • NPI 1871637728
  NPD (past)
• John T Bopp PC

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1447292180

  Clinical

  NPD (past)
• Associated Geriatric Services Inc

  • Adult Mental Health Clinic/Center
  • Denver, PA
  • NPI 1750431151
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1699737346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141140",
            "telephone_number": "816-361-0664",
            "fax_number": "816-361-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141127",
            "telephone_number": "816-361-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "ROSEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2005032794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC INDIVIDUAL",
            "identifier": "36589031",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kansas City, MO
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.