MS. SUSAN BERNADETTE WILSON


Address: 9700 Grandview Rd, Kansas City, MO 64137-1135
Phone: 8165083400

MS. SUSAN BERNADETTE WILSON (NPI# 1740321330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740321330
Entity Type Individual
Full Name MS. SUSAN BERNADETTE WILSON
Credential PH.D.
Practice Address 9700 Grandview Rd
Kansas City
MO 64137-1135
Mailing Address 1257 Sw Summit Crossing Dr
Lees Summit
MO 64081-3264
Practice Telephone 8165083400
Practice Fax Number 8165083425
Enumeration Date 2007-02-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PYR0237 MO Behavioral Health & Social Service Providers

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Office Location

Street Address 9700 GRANDVIEW RD
City KANSAS CITY
State MO
Zip Code 64137-1135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972583474 Spofford Community Based Residential Treatment Facility, Mental Illness 9700 Grandview Rd, Kansas City, MO 64137-1135 2006-01-19
1699203521 Carrie King Counselor 9700 Grandview Rd, Kansas City, MO 64137-1135 2017-05-23
1093264624 Ada Jarrar Counselor 9700 Grandview Rd, Kansas City, MO 64137-1135 2016-09-23
1952704041 Lauren Helmer Social Worker 9700 Grandview Rd, Kansas City, MO 64137-1135 2014-10-02
1467861047 Kiara Ohle Social Worker 9700 Grandview Rd, Kansas City, MO 64137-1135 2014-08-07
1306251723 Lula Jones Counselor 9700 Grandview Rd, Kansas City, MO 64137-1135 2014-06-24
1659794808 Amber Seater Counselor 9700 Grandview Rd, Kansas City, MO 64137-1135 2014-01-23
1861839755 Nardos Desta Social Worker 9700 Grandview Rd, Kansas City, MO 64137-1135 2013-05-31
1477803443 Amanda Fay Tyrell Social Worker 9700 Grandview Rd, Kansas City, MO 64137-1135 2012-09-17
1699025387 Venus Renee Franklin Social Worker 9700 Grandview Rd, Kansas City, MO 64137-1135 2012-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235502139 Amy Clarkson Social Worker 9700 Granview Rd, Kansas City, MO 64137 2015-11-02
1962888933 Naomi Norton Counselor 11209 Myrtle Ave, Kansas City, MO 64137 2015-07-31
1083005375 Oms Rehab, LLC Durable Medical Equipment & Medical Supplies 9678 Marion Ridge Dr, Kansas City, MO 64137 2015-02-09
1487904058 Edward Perkins D.d.s. PC Dentist 5314 E 115 St, Kansas Ctiy, MO 64137 2012-09-11
1053411140 Robert Raymond Brooks Chiropractor 3901 Red Bridge Road, Kansas City, MO 64137 2006-09-25
1972616522 Rehab Medical of Kansas City, Inc. Durable Medical Equipment & Medical Supplies 9580 Marion Rdg, Kansas City, MO 64137 2006-08-17
1558836122 Natasha Marie Sellens Speech-Language Pathologist 10330 Hickman Mills Dr, Kansas City, MO 64137 2018-10-09
1841784626 Melanie Mercedes Prickett Behavior Technician 10330 Hickman Mills Dr, Kansas City, MO 64137 2018-06-15
1548754328 Phillip Carl Easley Behavior Technician 10330 Hickman Mills Dr, Kansas City, MO 64137 2018-06-15
1821582602 Victoria Amanda Dolan Behavior Technician 10330 Hickman Mills Dr, Kansas City, MO 64137 2018-06-15
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1992058184 The Luminaries Project LLC Psychologist 435 Nichols Rd Ste 200, Kansas City, MO 64112-2036 2012-10-25
1588992481 Maureen Theresa Hennessey Psychologist 1229 W 62nd St Apt 1, Kansas City, MO 64113-2910 2009-12-03
1174717789 Albert Buddy Poje Psychologist 1024 Olathe Pavilion Mail Stop 4015, 3901 Rainbow Boulevard, Kansas City, KS 66160-0001 2007-08-28
1023213501 Wendi Kay Born Psychologist Dept of Family Medicine K U Medical Ctr, Mail Stop 4010, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 2007-06-15
1073726998 Harold Houston Jones IIi Psychologist 3145 Broadway St, Kansas City, MO 64111-2405 2007-05-07
1285852608 Daniel L. Birmingham Psychologist 868 Nw South Shore Dr, Kansas City, MO 64151-1446 2007-04-23
1376602284 Patricia Cohn Psychologist 222 West Gregory Blvd, Suite 219, Kansas City, MO 64114 2006-12-06
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Competitor

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City KANSAS CITY
Zip Code 64137

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Dataset Information

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.

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