Provider Demographics
NPI:1396824330
Name:WILSON & MCCABE PSYCHOLOGICAL COUNSELING & CONSULTING INC
Entity Type:Organization
Organization Name:WILSON & MCCABE PSYCHOLOGICAL COUNSELING & CONSULTING INC
Other - Org Name:WILSON & MCCABE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-358-8808
Mailing Address - Street 1:6220 BLUE RIDGE CUTOFF
Mailing Address - Street 2:SUITE 206
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-7505
Mailing Address - Country:US
Mailing Address - Phone:816-358-8808
Mailing Address - Fax:816-358-8802
Practice Address - Street 1:6220 BLUE RIDGE CUTOFF
Practice Address - Street 2:SUITE 206
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64133-7505
Practice Address - Country:US
Practice Address - Phone:816-358-8808
Practice Address - Fax:816-358-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1294103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
060268OtherVALUE OPTIONS
14338013OtherBLUE CROSS BLUE SHIELD
7765184OtherAETNA