Active NPI
Erica L Magsam
- Clinical Psychologist
- Kansas City, KS
National Provider Identifier
1952909913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03063
- Practice address
- 4000 Cambridge St
Kansas City, KS 66160-8501 - Phone
- (913) 588-1227
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12252 | NE | |
| Clinical Psychologist | 103TC0700X | 03063 | KS | Primary |
Addresses
Primary practice location
4000 Cambridge St
Kansas City, KS 66160-8501
Mailing address
4000 Cambridge St
Kansas City, KS 66160-8102
Phone (913) 588-1227
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12252 | NE | MD | Mental Health Counselor |
| 03063 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1952909913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CAMBRIDGE ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608102",
"telephone_number": "913-588-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CAMBRIDGE ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608501",
"telephone_number": "913-588-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGSAM",
"first_name": "ERICA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "12252",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "03063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.