Individual provider Active NPI

Jan Snider Kent, PH.D.

  • Clinical Psychologist
  • Joplin, MO
National Provider Identifier
1962450817
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01592 Issued in MO
Practice address
2650 E 32ND St Ste 221
Joplin, MO 64804-4300
Phone
(417) 623-1381
Fax
(417) 623-0457
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 01592 MO Primary

Addresses

Primary practice location

2650 E 32ND St Ste 221
Joplin, MO 64804-4300

Mailing address

2650 E 32ND St Ste 221
Joplin, MO 64804-4300
Phone (417) 623-1381

Other names 1

  • Jan Snider Kent Other name

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1962450817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 E 32ND ST STE 221",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044300",
            "telephone_number": "417-623-1381",
            "fax_number": "417-623-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E 32ND ST STE 221",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044300",
            "telephone_number": "417-623-1381",
            "fax_number": "417-623-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER KENT",
        "first_name": "JAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "01592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "SNIDER KENT",
            "credential": "P.H.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.