MR. CARROLL DEAN PATTERSON (NPI# 1255347431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255347431 |
| Entity Type | Individual |
| Full Name | MR. CARROLL DEAN PATTERSON |
| Credential | MD |
| Practice Address |
115 Blue Jay Drive Suite 202 Liberty MO 64068 |
| Practice Telephone | 8167923220 |
| Practice Fax Number | 8167923422 |
| Mailing Telephone | 8167923220 |
| Mailing Fax Number | 8167923422 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
30205 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS OF KANSAS CITY | 11284014 | 01 |
| Street Address |
115 BLUE JAY DRIVE SUITE 202 |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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 laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142368 | Julie Lafferty Md, LLC | Psychiatry & Neurology | 655 Craig Rd Ste 336, Creve Coeur, MO 63141-7171 | 2020-04-08 |
| 1831738574 | Gina Rivera Sokolich | Psychiatry & Neurology | 930 Kehrs Mill Rd Ste 325-13, Ballwin, MO 63011-2403 | 2019-12-28 |
| 1750939864 | Brave, LLC | Psychiatry & Neurology | 2100 Forum Blvd Ste C-2, Columbia, MO 65203-5436 | 2019-09-01 |
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1073171344 | Himangshu Rathinakumar | Psychiatry & Neurology | University of Missouri 1 Hospital Drive Dco67.00, Columbia, MO 65212-0001 | 2019-06-03 |
| 1285194613 | Mind Matters LLC | Psychiatry & Neurology | 3201 S Providence Rd Ste 202, Columbia, MO 65203-3622 | 2019-03-21 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1093209124 | Restorative Brain Clinic, Inc | Psychiatry & Neurology | 1010 Carondelet Dr Ste 112, Kansas City, MO 64114-4821 | 2018-06-21 |
| 1790277374 | Taiye Oluyomi Popoola | Psychiatry & Neurology | 1 Hospital Dr # 67.00, Columbia, MO 65212-1000 | 2018-05-31 |
| 1548709603 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 19203 Hazel Dell Rd, Higginsville, MO 64037-9162 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
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| 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.