Provider Demographics
NPI:1821029992
Name:CAFFREY COMPREHENSIVE SERVICES
Entity Type:Organization
Organization Name:CAFFREY COMPREHENSIVE SERVICES
Other - Org Name:PATRICK CAFFREY PHD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:DOLAN
Authorized Official - Last Name:CAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-363-5600
Mailing Address - Street 1:8301 STATE LINE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2019
Mailing Address - Country:US
Mailing Address - Phone:816-363-5600
Mailing Address - Fax:816-363-5159
Practice Address - Street 1:8301 STATE LINE RD
Practice Address - Street 2:STE 200
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2019
Practice Address - Country:US
Practice Address - Phone:816-363-5600
Practice Address - Fax:816-363-5159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY01379103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
20264029OtherBLUE CROSS BLUE SHIELD
F255332Medicare ID - Type Unspecified
R88977Medicare UPIN
F250000Medicare ID - Type Unspecified