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NPI Code Detail

MEDICARE: COMPREHENSIVE PSYCHIATRIC ASSOCIATES, LLC

MEDICARE: COMPREHENSIVE PSYCHIATRIC ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner
22084P0804XChild & Adolescent Psychiatry Physician
3101YM0800XMental Health Counselor
4104100000XSocial Worker
5103T00000XPsychologist
62084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
224909012OTHERMOBCBS GROUP PHYSICIAN #

General Provider Information

NPI Number : 1891821120
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE PSYCHIATRIC ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 305 NW ENGLEWOOD CT STE 300
Second Line :
City : GLADSTONE
State : MO
Zip : 64118-4000
Country : US
Telephone Number : 816-453-7473
Fax Number : 816-453-1940
Provider Business Practice Location Address
First Line : 305 NW ENGLEWOOD CT
Second Line : SUITE 300
City : GLADSTONE
State : MO
Zip : 64118-4072
Country : US
Telephone Number : 816-453-7473
Fax Number : 816-453-1940
Authorized Official
Title or Position : PRACTICE MANAGER
Name : JENNIFER ROBLES
Credential :
Telephone Number : 816-455-0556
Provider Enumeration Date : 02/23/2007
Last Update Date : 12/01/2025

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