Healthcare Provider Details

I. General information

NPI: 1295669497
Provider Name (Legal Business Name): AMY J. MARAGOS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 INDIAN CREEK PKWY STE 270
OVERLAND PARK KS
66210-1527
US

IV. Provider business mailing address

8700 INDIAN CREEK PKWY STE 270
OVERLAND PARK KS
66210-1527
US

V. Phone/Fax

Practice location:
  • Phone: 913-413-4361
  • Fax:
Mailing address:
  • Phone: 913-413-4361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number2026023881
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: