FOREST PARK NEUROLOGY LLC (NPI# 1972859510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972859510 |
| Entity Type | Organization |
| Organization Name | FOREST PARK NEUROLOGY LLC |
| Practice Address |
5811 E Truman Rd Kansas City MO 64126-2400 |
| Practice Telephone | 8166001816 |
| Practice Fax Number | 8772741845 |
| Mailing Telephone | 8166001816 |
| Mailing Fax Number | 8772741845 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | MRS. ANA V ANGELES (PRACTICE COORDINATOR) |
| Authorized Official Telephone | 8472512400 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
1116914 | MO | Behavioral Health & Social Service Providers |
| Street Address |
5811 E TRUMAN RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64126-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770609216 | Maria Lourdes Ilagan Donato | Psychiatry & Neurology | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2007-03-22 |
| 1912477308 | Malc Group LLC | Clinic/Center | 5811 E Truman Rd, Kansas City, MO 64126-2425 | 2018-11-28 |
| 1578812061 | Willow Park LLC | Custodial Care Facility | 5811 E Truman Rd, Kansas City, MO 64126 | 2012-08-30 |
| 1245547934 | Industrial Medical Center, LLC | Point of Service | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2010-09-02 |
| 1437391067 | Industrial Medical Centers Inc | Point of Service | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669921581 | A Ray of Hope LLC | Home Health | 6218 E.15th Terr., Kansas City, MO 64126 | 2016-10-04 |
| 1225279003 | Sheryl L Dysvick | Social Worker | 6604 E 12th St, Kansas City, MO 64126-2208 | 2009-03-09 |
| 1407158728 | Sheffield Place | Case Management | 6604 E 12th St, Kansas City, MO 64126-2208 | 2010-11-18 |
| 1487886941 | Ashley M Smith | Marriage & Family Therapist | 6604 E 12th St, Kansas City, MO 64126-2208 | 2009-08-18 |
| 1720055668 | Coatney Clinic, Inc | General Practice | 6235 E Truman Rd, Kansas City, MO 64126-2631 | 2006-02-28 |
| 1083943153 | James H Webb, D.o., LLC | Family Medicine | 6235 E Truman Rd, Kansas City, MO 64126-2631 | 2009-12-18 |
| 1952594384 | James H. Webb | Family Medicine | 6235 E Truman Rd, Kansas City, MO 64126-2631 | 2007-08-20 |
| 1407192404 | Inter City Fire Protection District | Ambulance | 1702 Blue Ridge Blvd, Blue Summit, MO 64126-3016 | 2012-12-19 |
| 1154546778 | The Carousel Adult Day Care LLC | Clinic/Center | 7219 E 17th St, Kansas City, MO 64126-3202 | 2007-04-17 |
| 1659617322 | Dr.harry R. Davidson, Phd LLC | Psychologist | 7219 E 17th St, Kansas City, MO 64126-3202 | 2012-12-27 |
| Find all providers in zip 64126 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114253549 | Lynn Ashley Cunningham | Psychologist | 8 W Pine Ct, Saint Louis, MO 63108-2110 | 2009-10-20 |
| 1972167773 | Great Plains Hospital | Psychologist | 1500 W Ashland St, Nevada, MO 64772-1710 | 2019-04-26 |
| 1902244825 | Gateway Psychiatric Group, LLC | Psychologist | 11710 Old Ballas Rd, Suite 110, Creve Coeur, MO 63141-7076 | 2013-06-13 |
| 1376757617 | M A Mirza, LLC | Psychologist | 4045 Ne Lakewood Way, Suite 130, Lees Summit, MO 64064-1799 | 2007-05-09 |
| 1386767994 | Phoenix Psychological Group, Inc | Psychologist | 225 S Meramec Ave, Suite 506, Saint Louis, MO 63105-3596 | 2007-04-09 |
| City | KANSAS CITY |
| Zip Code | 64126 |
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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.