DR. MARY M NEUBAUER (NPI# 1053475186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053475186 |
| Entity Type | Individual |
| Full Name | DR. MARY M NEUBAUER |
| Other Name | MISS MARY M BIESANZ |
| Credential | PHD |
| Practice Address |
1200 Nw South Outer Rd Suite 223 Blue Springs MO 64015-3072 |
| Practice Telephone | 8168744008 |
| Practice Fax Number | 8168744009 |
| Mailing Telephone | 8168744008 |
| Mailing Fax Number | 8168744009 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
01502 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 493520316 | 05 |
| Street Address |
1200 NW SOUTH OUTER RD SUITE 223 |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821061250 | Pamela L. Sisk | Registered Nurse | 1200 Nw South Outer Rd, Ste 301, Blue Springs, MO 64015-3059 | 2006-02-08 |
| 1780725762 | Joyce R Wallace | Psychologist | 1200 Nw South Outer Rd, Ste 310, Blue Springs, MO 64015-3072 | 2007-02-10 |
| 1770670671 | Greene-davis Enterprises, LLC | Clinic/Center | 1200 Nw South Outer Rd, Suite 116, Blue Springs, MO 64015-3072 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912917204 | Jane Winje Ruedi | Psychologist | 104 Nw Highway 7, Ste H, Blue Springs, MO 64014-2726 | 2006-08-09 |
| 1497708465 | Glenn Mark Collet | Psychologist | 1212 Sw Luttrell Rd, Ste F, Blue Springs, MO 64015-4924 | 2006-05-18 |
| 1699768846 | Lola Winn O'renick | Psychologist | 1004 Sw 22nd St, Blue Springs, MO 64015-4752 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
Please comment or provide details below to improve the information on DR. MARY M NEUBAUER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.