MADISON AVENUE PSYCHOLOGICAL SERVICES
NPI 1508110628
Psychologist - Clinical in Independence, MO

Active since October 29, 2012
12600 E 40 HWY, SUITE 101, INDEPENDENCE, MO 64055(816) 350-3333(816) 478-8888 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychologist
  • Clinical

About MADISON AVENUE PSYCHOLOGICAL SERVICES

This page provides the complete NPI Profile along with additional information for Madison Avenue Psychological Services, a provider established in Independence, Missouri operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1508110628 assigned on October 2012. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Madison Avenue Psychological Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Madison Avenue Psychological Services. The authorized official of this NPI record is John M Wubbenhorst Sr. (President)

NPI
1508110628 Verify this NPI
Provider Legal Name
WUBBENHORST & WUBBENHORST, INC
Other Organization Name
MADISON AVENUE PSYCHOLOGICAL SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12600 E 40 HWY SUITE 101 INDEPENDENCE, MO 64055
Location Phone
(816) 350-3333
Location Fax
(816) 478-8888
Mailing Address
3100 BROADWAY ST SUITE 1104 KANSAS CITY, MO 64111
Mailing Phone
(816) 753-3333
Mailing Fax
(816) 753-7744
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2012
Last Update Date
10-29-2012
Code Navigator

A clinical psychologist like Madison Avenue Psychological Services assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
3101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
4101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
5103T00000XBehavioral Health & Social Service Providers

Psychologist

 
6103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 
7103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

 
8103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
9103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

 
10103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
11103TP0814XBehavioral Health & Social Service Providers

Psychologist
Psychoanalysis

 
12104100000XBehavioral Health & Social Service Providers

Social Worker

 
131041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
14106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN M WUBBENHORST SR.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(816) 753-3333

Reviews for MADISON AVENUE PSYCHOLOGICAL SERVICES

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
12600 E 40 HWY
INDEPENDENCE, MO 64055
Social Worker (Clinical)
12600 E 40 HWY, SUITE 101
INDEPENDENCE, MO 64055
Social Worker (Clinical)
12600 E 40 HWY
INDEPENDENCE, MO 64055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508110628, enumerated as an "organization" on October 29, 2012.

The provider is located at 12600 E 40 HWY SUITE 101 INDEPENDENCE, MO 64055 and the phone number is (816) 350-3333.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.