NPIMap

Organization Active NPI

Dietchman and Associates, LLC

  • Psychologist
  • Independence, MO
National Provider Identifier
1992133151
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01720 Issued in MO
Legal business name
DIETCHMAN AND ASSOCIATES, LLC
Practice address
4016 S Lynn CT Dr
Ste. B
Independence, MO 64055-3360
Phone
(816) 716-3111
NPI assigned
Oct 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Ms. Renee L Dietchman, LICENSED PSYCHOLOGISNPI 1033166111
Title
Owner/Member
Phone
(816) 716-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X 1464 KS
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 01720 MO Primary

Addresses

Primary practice location

4016 S Lynn CT Dr
Ste. B
Independence, MO 64055-3360

Mailing address

4016 S Lynn CT Dr
Ste. B
Independence, MO 64055-3360
Phone (816) 716-3111

National Provider Directory

National Provider Directory

Locations

4016 S Lynn Ct Dr
Ste B
Independence, MO 64055
Phone (816) 716-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1992133151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 S LYNN CT DR",
            "address_2": "STE. B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553360",
            "telephone_number": "816-716-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 S LYNN CT DR",
            "address_2": "STE. B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553360",
            "telephone_number": "816-716-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETCHMAN AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "DIETCHMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "816-716-3111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED PSYCHOLOGIS"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "KS",
            "license": "1464",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.