Individual provider Active NPI

Linda May Joslyn-Bishop, PH.D.

  • Clinical Psychologist
  • Kansas City, MO
National Provider Identifier
1861549529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00112 Issued in MO
Practice address
4400 Broadway St
Suite 410
Kansas City, MO 64111-3498
Phone
(816) 756-0684
Fax
(816) 756-0604
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PY00112 MO Primary
Clinical Psychologist 103TC0700X 0441 KS

Addresses

Primary practice location

4400 Broadway St
Suite 410
Kansas City, MO 64111-3498

Mailing address

4400 Broadway St
Suite 410
Kansas City, MO 64111-3498
Phone (816) 756-0684

Other identifiers 1

IdentifierTypeStateIssuer
494765605MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000753 MO Practitioner - Clinical Psychologist 4688612245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
112KSMDMental Health Counselor
0441KSMDClinical Psychologist
PY00112MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
BPH LLC Past Accepting new patients
John T Bopp PC 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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861549529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-756-0684",
            "fax_number": "816-756-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-756-0684",
            "fax_number": "816-756-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSLYN-BISHOP",
        "first_name": "LINDA",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY00112",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "0441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494765605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.