FOREST PARK NEUROLOGY LLC - NPI 1972859510 - Psychologist in Kansas City, MO

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).

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About Forest Park Neurology Llc NPPES

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

FOREST PARK NEUROLOGY LLC (NPI 1972859510) is a healthcare organization registered as a prescribing (medical) in Kansas City, Missouri and active in the NPI registry since August 2012. The organization lists Ana V Angeles, Practice Coordinator, as its authorized official.

NPPES Registry Identity

NPI1972859510

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameFOREST PARK NEUROLOGY LLC

Location Address5811 E TRUMAN RDKansas City, MO 64126-2400

Mailing Address5811 E Truman RdKansas City, MO 64126-2400 · (816) 600-1816 · Fax (877) 274-1845

Phone(816) 600-1816

Fax(877) 274-1845

Organization SubpartNo

Authorized OfficialAna V AngelesPractice Coordinator · (847) 251-2400

Enumeration DateAugust 1, 2012

✔ NPI 1972859510 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 · 1116914

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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

5811 E TRUMAN RD, Kansas City, MO 64126

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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 5

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

DR. MARIA LOURDES ILAGAN DONATO MD

Psychiatry & Neurology (Neurology)