LISA J DABERKOW STALP (NPI# 1063603561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063603561 |
| Entity Type | Individual |
| Full Name | LISA J DABERKOW STALP |
| Other Name | LISA J DABERKOW |
| Credential | PHD |
| Practice Address |
3011 Baltimore Ave Kansas City MO 64108-3403 |
| Practice Telephone | 8167517732 |
| Practice Fax Number | 8167517981 |
| Mailing Telephone | 8167517900 |
| Mailing Fax Number | 8167517981 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 01859 | MO | Behavioral Health & Social Service Providers |
| Street Address |
3011 BALTIMORE AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746836 | Ability Kc | Clinic/Center | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2005-11-11 |
| 1841825981 | Addison Claire Pittman | Speech-Language Pathologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2020-03-09 |
| 1356816292 | Kara Hoegerl | Occupational Therapist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2018-10-08 |
| 1841771912 | Jenna Marie Price | Occupational Therapist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2018-08-27 |
| 1295190320 | Ferzeen Khushroo Patel | Psychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2015-12-16 |
| 1558622977 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2012-06-01 |
| 1316235161 | Rachel Jensen | Clinical Neuropsychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2011-07-14 |
| 1306175229 | Ability Kc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2009-12-24 |
| 1245344696 | Carey Ann Pawlowski | Psychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2006-08-19 |
| 1952415309 | Terrie Lynn Price | Clinical Neuropsychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941359 | Kimberly Hinman | Psychologist | 17 W 66th St, Kansas City, MO 64113-1825 | 2020-04-17 |
| 1174868715 | Francis Luke Bradley | Psychologist | 1106 Nw South Shore Dr, Kansas City, MO 64151-1440 | 2012-12-08 |
| 1073877957 | Skylar Bellinger | Psychologist | 3901 Rainbow Blvd, Msn 4003, Kumed, Cchd, Kansas City, KS 66160-0001 | 2012-06-26 |
| 1710268685 | Leigh Anne Randa | Psychologist | 6000 N Chatham Ave, Kansas City, MO 64151-2457 | 2011-09-06 |
| 1245462456 | Kimberly J Langrehr | Psychologist | 5100 Rockhill Rd, Umkc School of Education, Kansas City, MO 64110-2446 | 2009-08-20 |
| 1861697674 | Heather Lynn Noble | Psychologist | 4825 Troost St, Suite 206, Kansas City, MO 64110-2499 | 2007-06-20 |
| 1578779039 | Larry Roger Bethel | Psychologist | 3619 Broadway St, Suite 12, Kansas City, MO 64111-2503 | 2007-05-14 |
| 1528270683 | Richard Abloff | Psychologist | 6306 Walnut St, Kansas City, MO 64113 | 2007-05-03 |
| 1184842775 | Mary Lynn Warmbrodt | Psychologist | 14920 E 49th Ter, Kansas City, MO 64136-1305 | 2007-04-22 |
| 1306977426 | Bruce K. Manley | Psychologist | 8350 N Saint Clair Ave, Suite 250, Kansas City, MO 64151-5100 | 2007-03-08 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.