NPIMap

Organization Active NPI

Dietchman, Leavell and Associates

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1770744708
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01720 Issued in MO
Legal business name
DIETCHMAN, LEAVELL AND ASSOCIATES
Practice address
3210 Gillham Rd
Kansas City, MO 64109-1714
Phone
(816) 531-7737
Fax
(816) 531-7738
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Renee L Dietchman, MANPI 1033166111
Title
Licensed Psychologist
Phone
(816) 531-7737

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 01720 MO Primary

Addresses

Primary practice location

3210 Gillham Rd
Kansas City, MO 64109-1714

Mailing address

3210 Gillham Rd
Kansas City, MO 64109-1714
Phone (816) 531-7737

Other identifiers 1

IdentifierTypeStateIssuer
34875019OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1770744708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091714",
            "telephone_number": "816-531-7737",
            "fax_number": "816-531-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091714",
            "telephone_number": "816-531-7737",
            "fax_number": "816-531-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETCHMAN, LEAVELL AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "DIETCHMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "816-531-7737",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34875019",
            "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 Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.