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WHITE OAK PSYCHIATRIC SERVICES
NPI 1376757617
Psychologist - Prescribing (Medical) in Lees Summit, MO

Active since May 09, 2007
4045 NE LAKEWOOD WAY, SUITE 130, LEES SUMMIT, MO 64064(816) 886-2184(816) 886-2397 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About White Oak Psychiatric Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE OAK PSYCHIATRIC SERVICES (NPI 1376757617) is a healthcare organization registered as a prescribing (medical) in Lees Summit, Missouri and active in the NPI registry since May 2007. The organization lists Mohammed Azher Mirza, Owner, as its authorized official.

NPPES Registry Identity

NPI1376757617
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameM A MIRZA, LLC
Location Address4045 NE LAKEWOOD WAY, SUITE 130Lees Summit, MO 64064-1799
Mailing Address4045 Ne Lakewood Way, Suite 130Lees Summit, MO 64064-1799 · (816) 886-2184 · Fax (816) 886-2397
Phone(816) 886-2184
Fax(816) 886-2397
Organization SubpartNo
Authorized OfficialMohammed Azher MirzaOwner · (816) 228-5335
Enumeration DateMay 9, 2007
Last NPPES UpdateMarch 21, 2014
✔ NPI 1376757617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in MO · RICIO
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
4045 NE LAKEWOOD WAY, Lees Summit, MO 64064
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Other Names 1

Doing Business AsWhite Oak Psychiatric Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE EUGENE ROSENBAUM D.D.S.
Dentist (General Practice)
4045 NE LAKEWOOD WAY, SUITE 150
LEES SUMMIT, MO 64064
Jackson County (816) 350-9119
SHUBHA RAJA M.B.B.S.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4045 NE LAKEWOOD WAY, SUITE 130
LEES SUMMIT, MO 64064
Jackson County (816) 886-2184
CASEY S PROUGH MD
Psychiatry & Neurology (Psychiatry)
4045 NE LAKEWOOD WAY, SUITE 130
LEES SUMMIT, MO 64064
Jackson County (816) 886-2184
MOHAMMED AZHER MIRZA MD
Psychiatry & Neurology (Psychiatry)
4045 NE LAKEWOOD WAY, STE 130
LEES SUMMIT, MO 64064
Jackson County (816) 228-5335
DR. MARGUERITE DEVONNE FRENCH M.D.
Psychiatry & Neurology (Psychiatry)
4045 NE LAKEWOOD WAY, SUITE 130
LEES SUMMIT, MO 64064
Jackson County (816) 886-2184

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M A Mirza, LLC's NPI number?

The NPI number for M A Mirza, LLC is 1376757617. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as White Oak Psychiatric Services.

Where is M A Mirza, LLC located?

M A Mirza, LLC is located at 4045 NE Lakewood Way Suite 130, Lees Summit, MO 64064. The listed phone number is (816) 886-2184.

What is M A Mirza, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

What insurance does M A Mirza, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list M A Mirza, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for M A Mirza, LLC was last updated on March 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.