Organization Active NPI

The Plaza Academy

  • Clinical Child & Adolescent Psychologist
  • Kansas City, MO
National Provider Identifier
1942527429
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
THE PLAZA ACADEMY
Practice address
601 Westport Rd
Kansas City, MO 64111-3127
Phone
(816) 561-0770
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Gary O Seabaugh, PHD
Title
Executive Director
Phone
(816) 561-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

601 Westport Rd
Kansas City, MO 64111-3127

Mailing address

601 Westport Rd
PO Box 10361
Kansas City, MO 64111-3127
Phone (816) 561-0770

National Provider Directory

National Provider Directory
Tax ID family
Plaza Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1942527429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WESTPORT RD",
            "address_2": "PO BOX 10361",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113127",
            "telephone_number": "816-561-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WESTPORT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113127",
            "telephone_number": "816-561-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLAZA ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "SEABAUGH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-561-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 23, 2010; 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.