Deer Oaks Missouri

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DEER OAKS MISSOURI

Practice address

4741 Central St
Suite 494
Kansas City, MO 64112-1533

Phone

(816) 561-2759

Fax

(210) 593-9863

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Alan Boskind, PH.D.

Title

Ceo

Phone

(210) 615-3472

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1831354638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD",
            "address_2": "SUITE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404801",
            "telephone_number": "210-615-3472",
            "fax_number": "210-593-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 CENTRAL ST",
            "address_2": "SUITE 494",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121533",
            "telephone_number": "816-561-2759",
            "fax_number": "210-593-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER OAKS MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "BOSKIND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-615-3472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507527208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon F Dedon, M.D.
• Amy Dedrick, LMSW
• Matthew G Deedy, MD
• Rebecca Deen, RD
• Bangalore V Deepak, MD
• Deer Valley Hospice Care, Kansas City, Mo LLC (Ada Taylor)
• Melissa Elaine Deets, BSN, RN, IBCLC
• Sara Deffenbaugh, MD
• Kay Beth Dehart, RN, BSN, IBCLC
• Thomas Joseph Dehart, AUD

• Clinical Psychologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.