Organization · Type 2 NPI

State of Missouri

Psychiatry Physician · Kansas City, MO

NPI number 1497709083 Active

Practice location

1000 E 24th St
Kansas City, MO 64108-2776

Call (816) 512-7000 Map

Fax (816) 512-7509

Mailing address

1706 E Elm St
Jefferson City, MO 65101-4130

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
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…

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NPI record

NPI: 1497709083
Entity type: Organization (Type 2)
Issued: May 19, 2006
Last updated: Oct 27, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

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Center for Behavioral Health · doing business as
Center for Behavioral Health · doing business as

Authorized official

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

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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 1497709083

State of Missouri's National Provider Identifier is 1497709083, issued on May 19, 2006. 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.