Provider Demographics
NPI:1033301148
Name:KANSAS CITY PSYCHIATRIC AND PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:KANSAS CITY PSYCHIATRIC AND PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:816-373-6400
Mailing Address - Street 1:4731 S COCHISE DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6975
Mailing Address - Country:US
Mailing Address - Phone:816-373-6400
Mailing Address - Fax:816-478-9008
Practice Address - Street 1:4731 S COCHISE DR
Practice Address - Street 2:SUITE 206
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6975
Practice Address - Country:US
Practice Address - Phone:816-373-6400
Practice Address - Fax:816-478-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOM0200107446101YP2500X
MO20060020532084P0800X
MO003935104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty