CARL DUBOSE (NPI# 1114345840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114345840 |
| Entity Type | Individual |
| Full Name | CARL DUBOSE |
| Credential | M.D. |
| Practice Address |
4400 Broadway Ste 407 Kansas City MO 64111 |
| Mailing Address |
901 E 104th St Mailstop 400s Kansas City MO 64131 |
| Practice Telephone | 8169311711 |
| Practice Fax Number | 8169321719 |
| Mailing Telephone | 8165027117 |
| Mailing Fax Number | 8169329670 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2017014862 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 E 24th St, Kansas City, MO 641082776 | 8165127481 | 8165127486 |
| Street Address |
4400 BROADWAY STE 407 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209124 | Restorative Brain Clinic, Inc | Psychiatry & Neurology | 1010 Carondelet Dr Ste 112, Kansas City, MO 64114-4821 | 2018-06-21 |
| 1932460383 | Amanda L Klass | Psychiatry & Neurology | 3901 Rainbow Blvd., Mailstop 4015, University of Kansas Medical Center-psychiatry, Kansas City, KS 66160 | 2012-06-01 |
| 1700176757 | Kayla Gertsema | Psychiatry & Neurology | 10918 Elm Ave Ste 102, Kansas City, MO 64134-2284 | 2011-04-11 |
| 1992997043 | Myo Inc | Psychiatry & Neurology | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 | 2007-08-13 |
| 1265631527 | Micaela Patricia Wexler | Psychiatry & Neurology | 4203 Booth St, Kansas City, KS 66103-3116 | 2007-07-16 |
| 1477632982 | Charles R Lake | Psychiatry & Neurology | 3901rainbow Blvd, 4070 Delp, Kansas City, KS 66160 | 2006-11-03 |
| 1699863019 | James Ray Trahan | Psychiatry & Neurology | 211 Ne 54th St Ste 201, Kansas City, MO 64118-4330 | 2006-10-11 |
| 1720174139 | Teresa N/a Moscovich | Psychiatry & Neurology | 4801 E . Linwood Street, Kansas City, MO 64128 | 2006-10-04 |
| 1023109246 | Francis Xavier Barth | Psychiatry & Neurology | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2006-09-27 |
| 1104917715 | Rosalie Pompushko | Psychiatry & Neurology | 6143 Wornall Rd, Kansas City, MO 64113-1417 | 2006-09-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on CARL DUBOSE.
| 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.