Provider Demographics
NPI:1952479420
Name:MEAGHER, JAMES PATRICK (MA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:MEAGHER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7180 W 107TH ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2552
Mailing Address - Country:US
Mailing Address - Phone:913-384-3595
Mailing Address - Fax:913-652-9896
Practice Address - Street 1:7180 W 107TH ST
Practice Address - Street 2:SUITE 8
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2552
Practice Address - Country:US
Practice Address - Phone:913-384-3595
Practice Address - Fax:913-652-9896
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS140101YP2500X
MO0016641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO35556019OtherBCBS OF KCMO