Provider Demographics
NPI:1629529888
Name:PSYCHPROS OF KANSAS CITY
Entity Type:Organization
Organization Name:PSYCHPROS OF KANSAS CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MADISON
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-272-5656
Mailing Address - Street 1:600 NW MURRAY RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-1238
Mailing Address - Country:US
Mailing Address - Phone:816-242-5656
Mailing Address - Fax:816-817-8820
Practice Address - Street 1:600 NW MURRAY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-1238
Practice Address - Country:US
Practice Address - Phone:816-242-5656
Practice Address - Fax:816-817-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty