Active NPI
Nicole Liana Prado, PSY.D.
- Clinical Psychologist
- Blue Springs, MO
National Provider Identifier
1730224676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2017030276
- Practice address
- 1200 NW South Outer Rd Ste 317
Blue Springs, MO 64015-3059 - Phone
- (816) 288-8594
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2017030276 | MO | Primary |
Addresses
Primary practice location
1200 NW South Outer Rd Ste 317
Blue Springs, MO 64015-3059
Mailing address
1200 NW South Outer Rd Ste 317
Blue Springs, MO 64015-3059
Phone (816) 288-8594
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1730224676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NW SOUTH OUTER RD STE 317",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153059",
"telephone_number": "816-288-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NW SOUTH OUTER RD STE 317",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153059",
"telephone_number": "816-288-8594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO",
"first_name": "NICOLE",
"middle_name": "LIANA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2017030276",
"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 Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.