DR. BRUCE K. MANLEY (NPI# 1306977426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306977426 |
| Entity Type | Individual |
| Full Name | DR. BRUCE K. MANLEY |
| Credential | PH.D. |
| Practice Address |
8350 N Saint Clair Ave Suite 250 Kansas City MO 64151-5100 |
| Mailing Address |
5411 Nw Edgewood Trl Kansas City MO 64151-3393 |
| Practice Telephone | 8162236128 |
| Mailing Telephone | 8162236128 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2001003634 | MO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP-0999 | KS | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
2001003634 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS NON-PROVIDER # | 27031028 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124114525 | Bruce G Manley | Physician Assistant | 22 Bramhall St, Portland, ME 04102-3134 | 2006-10-04 |
| Street Address |
8350 N SAINT CLAIR AVE SUITE 250 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64151-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535689 | Candice Marie Jenkins | Counselor | 8350 N Saint Clair Ave, Kansas City, MO 64151-5100 | 2020-07-21 |
| 1972915379 | Colleen Fagan | Psychologist | 8350 N Saint Clair Ave, Suite 250, Kansas City, MO 64151-5100 | 2014-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033813 | Jonene Jaynes | Technician | 5002 Nw Martin Dr, Platte County, MO 64151 | 2019-10-01 |
| 1033636956 | Autism Support Now, LLC | Behavioral Analyst | 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 | 2017-08-23 |
| 1699205211 | Alma C Batchelor | Behavior Technician | 5863 Nw 72nd Street, Kansas City, MO 64151 | 2017-06-15 |
| 1588015291 | Freedom Care, LLC | Home Health Aide | 5727 N. Ames Ave, Kansas, MO 64151 | 2016-06-23 |
| 1164701827 | Richard Alan Pelaar | Counselor | 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 | 2011-08-12 |
| 1013238708 | Kodi Lee Watson | Dietitian, Registered | 8301 N St. Clair Ave, Kansas City, MO 64151 | 2010-06-16 |
| 1821296294 | Andy Mackey | Durable Medical Equipment & Medical Supplies | 5100 Nw Waukomis, Northmoor, MO 64151 | 2007-07-06 |
| 1629138185 | George Thomas Mcneish II | Dentist | 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 | 2006-12-12 |
| 1649345091 | Comfort Plus Shoes & Footcare | Durable Medical Equipment & Medical Supplies | 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 | 2006-11-21 |
| 1457456931 | Steve Bull Cain | Dentist | 7120 Nw Prairie View Rd, Kansas City, MO 64151 | 2006-09-13 |
| Find all providers in zip 64151 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941359 | Kimberly Hinman | Psychologist | 17 W 66th St, Kansas City, MO 64113-1825 | 2020-04-17 |
| 1174868715 | Francis Luke Bradley | Psychologist | 1106 Nw South Shore Dr, Kansas City, MO 64151-1440 | 2012-12-08 |
| 1073877957 | Skylar Bellinger | Psychologist | 3901 Rainbow Blvd, Msn 4003, Kumed, Cchd, Kansas City, KS 66160-0001 | 2012-06-26 |
| 1710268685 | Leigh Anne Randa | Psychologist | 6000 N Chatham Ave, Kansas City, MO 64151-2457 | 2011-09-06 |
| 1245462456 | Kimberly J Langrehr | Psychologist | 5100 Rockhill Rd, Umkc School of Education, Kansas City, MO 64110-2446 | 2009-08-20 |
| 1861697674 | Heather Lynn Noble | Psychologist | 4825 Troost St, Suite 206, Kansas City, MO 64110-2499 | 2007-06-20 |
| 1578779039 | Larry Roger Bethel | Psychologist | 3619 Broadway St, Suite 12, Kansas City, MO 64111-2503 | 2007-05-14 |
| 1528270683 | Richard Abloff | Psychologist | 6306 Walnut St, Kansas City, MO 64113 | 2007-05-03 |
| 1184842775 | Mary Lynn Warmbrodt | Psychologist | 14920 E 49th Ter, Kansas City, MO 64136-1305 | 2007-04-22 |
| 1710021464 | Karen L Willing | Psychologist | 7920 Ward Pkwy, Suite 250, Kansas City, MO 64114-2017 | 2007-02-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64151 |
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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.