NICHOLAS DAVID PSENCIK MD
NPI 1497406615
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Q: What is Nicholas Psencik's NPI number?

The NPI number for Nicholas Psencik is 1497406615. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Q: What is Nicholas Psencik's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Psencik was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 11, 2022

2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-4175(816) 404-0003 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2023, Jan 11, 2022 (2 updates tracked since 2022).

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About Nicholas David Psencik Md NPPES

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

NICHOLAS DAVID PSENCIK MD (NPI 1497406615) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since January 2022. He maintains 5 additional practice locations.

NPPES Registry Identity

NPI1497406615

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS DAVID PSENCIKCredential: MD

Location Address2301 HOLMES STKansas City, MO 64108-2640

Mailing Address2301 Holmes StKansas City, MO 64108-2640 · (816) 404-4175 · Fax (816) 404-0003

Phone(816) 404-4175

Fax(816) 404-0003

Sole ProprietorNo

Enumeration DateJanuary 11, 2022

Last NPPES UpdateMarch 29, 20242 updates tracked since enumeration

NPPES CertifiedMarch 29, 2024

✔ NPI 1497406615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2301 HOLMES ST, Kansas City, MO 64108

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Secondary Practice Locations 5

Location 11000 E 24th StKansas City, MO 64108-2776 · Phone (816) 512-7439 · Fax (816) 512-7440

Location 24401 Wornall RdKansas City, MO 64111-3241 · Phone (816) 932-2107 · Fax (816) 932-2843

Location 3800 Stanton L Young BlvdOklahoma City, OK 73104-5018 · Phone (405) 706-0782

Location 47900 Lees Summit RdKansas City, MO 64139-1236 · Phone (816) 404-4862 · Fax (816) 404-7716

Location 51000 N Lee Ave Ste 1980Oklahoma City, OK 73102-1036 · Phone (405) 272-8437 · Fax (405) 231-3007

Other Providers at the Same Location NPPES 20

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

DR. DOUGLAS B BOGART MD

Internal Medicine (Cardiovascular Disease)