Individual provider Active NPI

Amy R. Beck, PH.D.

  • Clinical Psychologist
  • Kansas City, MO
National Provider Identifier
1992913008
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2010030783 Issued in MO
Practice address
119 W Gregory Blvd
8472
Kansas City, MO 64114-0472
Phone
(510) 250-2805
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010030783MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin Behavioral Health Ma PC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2010030783 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

119 W Gregory Blvd
8472
Kansas City, MO 64114-0472

Mailing address

PO Box 8472
Kansas City, MO 64114-0472

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2024.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1992913008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8472",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641140472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W GREGORY BLVD",
            "address_2": "8472",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641140472",
            "telephone_number": "510-250-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "AMY",
        "middle_name": "R.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2010030783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.