Organization · Type 2 NPI

State of Missouri

Psychiatry Physician · Kansas City, MO

NPI number 1386198448 Active

Practice location

821 Admiral Blvd
Kansas City, MO 64106-1516

Call (816) 889-3400 Map

Fax (816) 889-3325

Mailing address

PO Box 687, Attn: Reimbursement Section
Jefferson City, MO 65102-0687

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

3 other providers at this address

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NPI record

NPI: 1386198448
Entity type: Organization (Type 2)
Issued: Aug 6, 2016
Last updated: Oct 27, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

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Developmental Disabilities Behavior Services · doing business as
Developmental Disabilities Behavior Services · doing business as

Authorized official

Molly Jane Boeckmann
Director of Administrative Services
(573) 751-4055

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386198448

State of Missouri's National Provider Identifier is 1386198448, issued on Aug 6, 2016. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Kansas City, MO. The record was last updated on Oct 27, 2020.