PERSONAL & FAMILY DEVELOPMENT SERVICES PTR
NPI 1578770954
Psychologist - Clinical in Kansas City, MO

NPI Status: Active since May 17, 2007

Contact Information

4400 BROADWAY ST
SUITE 410
KANSAS CITY, MO
ZIP 64111
Phone: (816) 756-0684
Fax: (816) 756-0604

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  • Organization
  • Psychologist
  • Clinical

About PERSONAL & FAMILY DEVELOPMENT SERVICES PTR

This page provides the complete NPI Profile along with additional information for Personal & Family Development Services Ptr, a provider established in Kansas City, Missouri operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1578770954 assigned on May 2007. The practitioner's primary taxonomy code is 103TC0700X with license number PY00112 (MO). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Riley James Bishop L.c.s.w. (Office Manager)

NPI
1578770954
Provider Name
PERSONAL & FAMILY DEVELOPMENT SERVICES PTR
Entity Type
Organization
Location Address
4400 BROADWAY ST SUITE 410 KANSAS CITY, MO 64111
Location Phone
(816) 756-0684
Location Fax
(816) 756-0604
Mailing Address
4400 BROADWAY ST SUITE 410 KANSAS CITY, MO 64111
Mailing Phone
(816) 756-0684
Mailing Fax
(816) 756-0604
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
02-28-2012
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A clinical psychologist like Personal & Family Development Services Ptr assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PY00112
License State
MO
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RILEY JAMES BISHOP L.C.S.W.

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(816) 756-0684

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F520000MEDICARE ID-TYPE UNSPECIFIED (04)MEDICARE GROUP NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578770954
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481470910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 4 + 7 + 0 + 9 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1578770954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356333496 CHARLES R KELLY MD
Individual
Physical Medicine & Rehabilitation4400 BROADWAY ST STE 540
KANSAS CITY, MO 64111
(816) 931-3013
1548215486DR. CHARLES VINCENT MOYLAN MD
Individual
Pediatrics4400 BROADWAY ST #206
KANSAS CITY, MO 64111
(816) 561-8100
1063467405DR. ANTHONY PAUL PECORARO MD
Individual
Pediatrics4400 BROADWAY ST #206
KANSAS CITY, MO 64111
(816) 561-8100
1588603302 JEFFREY ARTHUR WATERS M.D.
Individual
Specialist4400 BROADWAY ST STE 206
KANSAS CITY, MO 64111
(816) 561-8100
1376583179DR. NATASHA LIN BURGERT M.D.
Individual
Pediatrics4400 BROADWAY ST STE. 206
KANSAS CITY, MO 64111
(816) 561-8100
1588605919DR. KEVIN MICHAEL BURGERT M.D.
Individual
Pediatrics4400 BROADWAY ST STE. 206
KANSAS CITY, MO 64111
(816) 561-8100
1992746796NEUROLOGICAL CONSULTANTS OF KANSAS CITY, INC
Organization
Psychiatry & Neurology (Neurology)4400 BROADWAY ST SUITE 520
KANSAS CITY, MO 64111
(816) 531-4080
1992740484 ERIC P FLORES M.D.
Individual
Neurological Surgery4400 BROADWAY ST SUITE 510
KANSAS CITY, MO 64111
(816) 561-4655
1629013115KANSAS CITY NEUROSURGERY GROUP, LLC
Organization
Neurological Surgery4400 BROADWAY ST SUITE 510
KANSAS CITY, MO 64111
(816) 561-4655
1932135159A WOMAN'S PLACE AT THE CLINIC FOR WOMEN, INC
Organization
Obstetrics & Gynecology4400 BROADWAY ST SUITE 409
KANSAS CITY, MO 64111
(816) 753-7060
1740391606DR. JEREMY A, BURD MD
Individual
Psychiatry & Neurology (Psychiatry)4400 BROADWAY ST SUITE 407
KANSAS CITY, MO 64111
(816) 932-1711
1861549529DR. LINDA MAY JOSLYN-BISHOP PH.D.
Individual
Psychologist (Clinical)4400 BROADWAY ST SUITE 410
KANSAS CITY, MO 64111
(816) 756-0684
1952458606MR. RILEY JAMES BISHOP L.C.S.W.
Individual
Social Worker (Clinical)4400 BROADWAY ST SUITE 410
KANSAS CITY, MO 64111
(816) 756-0684
1598886285ST LUKES HOSPITAL OF KANSAS CITY
Organization
Physical Medicine & Rehabilitation4400 BROADWAY ST
KANSAS CITY, MO 64111
(816) 931-3013
1366615908MARTIN P. O'LAUGHLIN MD PC
Organization
Pediatrics (Pediatric Cardiology)4400 BROADWAY ST SUITE 400
KANSAS CITY, MO 64111
(816) 931-5440
1164686481DR. DUANE A LUNDERVOLD RHD
Individual
Counselor (Mental Health)4400 BROADWAY ST
KANSAS CITY, MO 64111
(816) 561-9200
1952550220 ROBERT BURTON SHONKWILER P.L.P.C.
Individual
Counselor (Addiction (Substance Use Disorder))4400 BROADWAY ST SUITE 410
KANSAS CITY, MO 64111
(816) 304-7793
1598080905JOHN C HALL MD PC
Organization
Specialist4400 BROADWAY ST SUITE 416
KANSAS CITY, MO 64111
(816) 561-7783
1588860431MS. ELIZABETH ANN MULVENON RN, MSN, FNP-C
Individual
Nurse Practitioner (Family)4400 BROADWAY ST SUITE 510
KANSAS CITY, MO 64111
(816) 932-2700
1316989270DR. MARILYN M RYMER M.D.
Individual
Psychiatry & Neurology (Neurology)4400 BROADWAY ST SUITE 520
KANSAS CITY, MO 64111
(816) 531-4080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578770954, enumerated in the NPI registry as an "organization" on May 17, 2007

The provider is located at 4400 Broadway St Suite 410 Kansas City, Mo 64111 and the phone number is (816) 756-0684

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.