DR. DEAN RAY SKADELAND (NPI# 1356362578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356362578 |
| Entity Type | Individual |
| Full Name | DR. DEAN RAY SKADELAND |
| Credential | PSY.D. |
| Practice Address |
4801 E Linwood Blvd Kansas City MO 64128-2226 |
| Practice Telephone | 8168614700 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 01371 | MO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
01371 | MO | Behavioral Health & Social Service Providers |
| Street Address |
4801 E LINWOOD BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64128-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104163 | Michael B Parsa | Radiology | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2005-06-15 |
| 1811598501 | Meaghan Tufts | Technician, Pathology | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-11-08 |
| 1023626652 | Abesyde Buena Cairns | Registered Nurse | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-07-20 |
| 1467079699 | Jordan Thoman | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-07-03 |
| 1528685351 | Kennedy Lynn Moore | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-27 |
| 1740807684 | Christopher Alexander | Counselor | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-26 |
| 1861018962 | Baig Medical LLC | Family Medicine | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-24 |
| 1770109712 | Patricia Lynne Callahan | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-24 |
| 1770109936 | Lauren Ellsbeth Sudhoff | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-23 |
| 1477174423 | Jamie Chavez | Social Worker | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
| 1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
| 1457732521 | Edward Stewart | Contractor | 2816 Bales Ave, Kansas City, MO 64128 | 2015-06-15 |
| 1144618869 | Kimberly Bergman | Social Worker | 4801 E Linwood Blvd., Kansas City, MO 64128 | 2015-01-05 |
| 1861826836 | Shelly K Miller | Registered Nurse | 2701 East 31st St, Kansas City, MO 64128 | 2013-08-27 |
| 1487890778 | School District of Kansas City, Mo | Clinic/Center | 3221 Indiana Ave., Kansas City, MO 64128 | 2008-12-17 |
| 1912177635 | Dr. Valentenia Daugherty and Dr. Alvin R. Smith, PC | Podiatrist | 2713 East 31st Street, Kansas City, MO 64128 | 2008-03-10 |
| 1649454844 | Allison Kay Ambrose | Pharmacist | 4801 East Linewood Boulevard, Kansas City, MO 64128 | 2007-12-24 |
| 1073720058 | Ram N Kamath | Internal Medicine | Kc-vamc, 4801 Linwood Blvd, Kansas City, MO 64128 | 2007-05-17 |
| 1003937020 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2701 E 31st St, Kansas City, MO 64128 | 2007-04-03 |
| Find all providers in zip 64128 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750612925 | Stress Control Center Inc, P C | Clinical Neuropsychologist | 800 W 47th St Ste 514, Kansas City, MO 64112-1247 | 2010-01-27 |
| 1134274822 | Sally Ann Frutiger | Clinical Neuropsychologist | Center for Neuropsychology, University of Kansas Hospital, Kansas City, KS 66160-0001 | 2007-01-24 |
| 1477648111 | Eric Phillip Ecklund-johnson | Clinical Neuropsychologist | University of Kansas Hospital, 3901 Rainbow Blvd., Mail Stop 1059, Kansas City, KS 66160-0001 | 2006-10-04 |
| 1871537456 | David Lytle Pyle | Clinical Neuropsychologist | 5354 Longview Rd, Kansas City, MO 64137-2731 | 2006-06-15 |
| 1407854292 | Nicholas Noll | Clinical Neuropsychologist | 1208 Ne 97th St, Kansas City, MO 64155-2109 | 2005-07-14 |
| 1316235161 | Rachel Jensen | Clinical Neuropsychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2011-07-14 |
| 1881846905 | John Joshua Hall | Clinical Neuropsychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-10-21 |
| 1437224326 | William Blessing | Clinical Neuropsychologist | 1010 Carondelet Dr, Suite 201, Kansas City, MO 64114-4859 | 2006-11-23 |
| 1558436527 | Stephen Alan Jackson | Clinical Neuropsychologist | 1000 E 24th St, Kansas City, MO 64108-2776 | 2006-11-22 |
| 1952415309 | Terrie Lynn Price | Clinical Neuropsychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2006-08-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64128 |
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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.