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SUSAN SOUTHWORTH, PSY.D. LLC
NPI 1750834701
Psychologist - Clinical in Kearney, MO

Active since July 26, 2016
302 S PLATTE CLAY WAY, SUITE 103, KEARNEY, MO 64060(816) 903-3800(816) 903-9999 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Southworth, Psy.d. Llc NPPES

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

SUSAN SOUTHWORTH, PSY.D. LLC (NPI 1750834701) is a healthcare organization registered as a clinical in Kearney, Missouri and active in the NPI registry since July 2016. The organization lists Susan Marie Southworth, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1750834701
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUSAN SOUTHWORTH, PSY.D. LLC
Location Address302 S PLATTE CLAY WAY, SUITE 103Kearney, MO 64060-8500
Mailing Address302 S Clay Way, Suite 103Kearney, MO 64060 · (816) 903-3800 · Fax (816) 903-9999
Phone(816) 903-3800
Fax(816) 903-9999
Organization SubpartNo
Authorized OfficialSusan Marie SouthworthClinical Psychologist · (816) 903-3800
Enumeration DateJuly 26, 2016
✔ NPI 1750834701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MO · 01928
Definition
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.
302 S PLATTE CLAY WAY, Kearney, MO 64060
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Other Identifiers 2

Medicare PIND76000002MO
Medicaid1235313719MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MARY CATHERINE MCGINNESS LCSW
Social Worker (Clinical)
302 S PLATTE CLAY WAY
KEARNEY, MO 64060
Clay County (816) 482-3708

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 Susan Southworth, Psy.D. LLC's NPI number?

The NPI number for Susan Southworth, Psy.D. LLC is 1750834701. It was assigned to this organization in the NPPES registry on July 26, 2016.

Where is Susan Southworth, Psy.D. LLC located?

Susan Southworth, Psy.D. LLC is located at 302 S Platte Clay Way Suite 103, Kearney, MO 64060. The listed phone number is (816) 903-3800.

What is Susan Southworth, Psy.D. LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Susan Southworth, Psy.D. LLC was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.