DR. KATHRYN JO MCCONAHAY (NPI# 1881799302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881799302 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN JO MCCONAHAY |
| Credential | PH.D. |
| Practice Address |
4400 Broadway St Ste 220 Kansas City MO 64111-3342 |
| Mailing Address |
3005 W 83rd St Leawood KS 66206-1123 |
| Practice Telephone | 8165618100 |
| Practice Fax Number | 8165618154 |
| Mailing Telephone | 9136485238 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
01824 | MO | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
947 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | LICENSED PSYCHOLOGIST | 947 | 01 |
| MO | PSYCHOLOGIST LISCENSE | 01824 | 01 |
| Street Address |
4400 BROADWAY ST STE 220 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260574 | Ayanda Chakawa | Psychologist | 3101 Broadway Blvd Fl 10, Kansas City, MO 64111-2673 | 2019-08-12 |
| 1073978979 | Kari Struemph | Psychologist | 2106 Olathe Blvd Mailstop 4004, Kansas City, KS 66160-0001 | 2015-12-18 |
| 1154626893 | Family First Center for Autism and Child Development, Inc. | Psychologist | 5863 Nw 72nd St, Suite 180, Kansas City, MO 64151-1483 | 2011-01-11 |
| 1730411570 | Rosemary Parece | Psychologist | 4010 Washington St Ste 401, Kansas City, MO 64111-2614 | 2010-02-04 |
| 1649476094 | Stephen Robert Lassen | Psychologist | 3901 Rainbow Blvd # Ms -4004, Kansas City, KS 66160-0001 | 2007-06-22 |
| 1790785525 | Susan Lieberman | Psychologist | 8301 State Line Road, Ste 116, Kansas City, MO 64114 | 2005-07-22 |
| 1134738057 | Scott Wagoner | Psychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-27 |
| 1801420633 | Cheng Qian | Psychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-03-02 |
| 1598125114 | Janelle Mentrikoski | Psychologist | 2401 Gillham Rd, Div. Developmental and Behavioral Sci., Kansas City, MO 64108-4619 | 2016-02-24 |
| 1538565197 | Gail Carroll Robertson | Psychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-11-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on DR. KATHRYN JO MCCONAHAY.
| 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.