Individual provider Active NPI

Deanna Kraus Zeilmann, PSY.D.

  • Clinical Psychologist
  • Liberty, MO
National Provider Identifier
1841381803
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2002020079 Issued in MO
Practice address
1170 W Kansas St
Westowne Office Park, Building 10
Liberty, MO 64068-2036
Phone
(816) 781-6634
Fax
(816) 407-7706
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2002020079 MO Primary
Group Psychotherapy Psychologist 103TP2701X 2002020079 MO

Addresses

Primary practice location

1170 W Kansas St
Westowne Office Park, Building 10
Liberty, MO 64068-2036

Mailing address

1170 W Kansas St
Westowne Office Park, Building 10
Liberty, MO 64068-2036
Phone (816) 781-6634

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

State licenses

LicenseStateTypeSpecialty
2002020079MOMDGroup Psychotherapy Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
John T Bopp PC Clinical Past Accepting new patients
Smock & Associates, Inc. Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1841381803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 W KANSAS ST",
            "address_2": "WESTOWNE OFFICE PARK, BUILDING 10",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682036",
            "telephone_number": "816-781-6634",
            "fax_number": "816-407-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 W KANSAS ST",
            "address_2": "WESTOWNE OFFICE PARK, BUILDING 10",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682036",
            "telephone_number": "816-781-6634",
            "fax_number": "816-407-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEILMANN",
        "first_name": "DEANNA",
        "middle_name": "KRAUS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2002020079",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MO",
            "license": "2002020079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.