DR. JASON CARTER FAIRMAN (NPI# 1417033895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417033895 |
| Entity Type | Individual |
| Full Name | DR. JASON CARTER FAIRMAN |
| Credential | PSY.D. |
| Practice Address |
2900 Sw 13th St Lees Summit MO 64081-3800 |
| Practice Telephone | 8165167114 |
| Practice Fax Number | 8164377399 |
| Mailing Telephone | 8165167114 |
| Mailing Fax Number | 8164377399 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2009-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2004033756 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 498452606 | 05 | |
| MO | BLUE CROSS BLUE SHIELD | 191215 | 01 |
| Street Address |
2900 SW 13TH ST |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64081-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912927575 | Linda Lea Simmons | Psychologist | 2900 Sw 13th St, Lees Summit, MO 64081-3800 | 2006-07-19 |
| 1891223558 | Diane Hendricks | Social Worker | 2900 Sw 13th St, Lees Summit, MO 64081-3800 | 2017-05-25 |
| 1609268994 | Midamericare Pllc | Psychologist | 2900 Sw 13th St, Lees Summit, MO 64081-3800 | 2015-02-24 |
| 1699166322 | Bennie Spurlock | Social Worker | 2900 Sw 13th St, Lees Summit, MO 64081-3800 | 2015-02-17 |
| 1154449676 | Craig A Erisman | Psychologist | 2900 Sw 13th St, Lees Summit, MO 64081-3800 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1356845192 | Humble Hearts Counseling Services LLC | Clinic/Center | 1448 Sw Highland Drive, Lees Summit, MO 64081 | 2018-03-19 |
| 1679963649 | Molly Thompson | Occupational Therapy Assistant | 600 Sw Pryor, Lees Summit, MO 64081 | 2015-01-29 |
| 1639584790 | Kathryn Kincaide | Nurse Practitioner | 506 Nw Murray Road, Lee's Summit, MO 64081 | 2014-06-27 |
| 1154660678 | Jay Hatfield Mobility LLC | Durable Medical Equipment & Medical Supplies | 1115 Sw Oldham Parkway, Lee's Summit, MO 64081 | 2013-02-04 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1205113230 | Heartland Podiatry, P.C. | Podiatrist | 1161 Se Oldham Parkway, Lees Summit, MO 64081 | 2011-11-04 |
| 1740564723 | Melvin Turner Jr. | Pharmacist | 2501 Winteroak Cir, Kansas City, MO 64081 | 2011-10-07 |
| Find all providers in zip 64081 | ||||
| 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 |
|---|---|---|---|---|
| 1952449613 | Tamara S Byergo | Psychologist | 5103 Sw Surf Scooter St, Lees Summit, MO 64082-4599 | 2007-02-02 |
| 1942283478 | Robin Lauree Larson-molzen | Psychologist | 1808 Ne Burgandy Cir, Lees Summit, MO 64086-5961 | 2005-11-29 |
| 1609347871 | Aastha Gupta | Psychologist | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2018-12-16 |
| 1104210640 | Clara Elliott | Psychologist | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2015-03-23 |
| 1477882868 | Wellspring Ministries | Psychologist | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2009-12-14 |
| 1235294018 | Tammy J Jackson | Psychologist | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-12-22 |
| 1881782779 | Amelia R Harris | Psychologist | 200 Ne Missouri Rd, Lees Summit, MO 64086-4722 | 2006-10-10 |
| 1164517389 | Virginia Campbell | Psychologist | 4045 Ne Lakewood Way Ste 130, Lees Summit, MO 64064 | 2006-10-04 |
| 1215021068 | Kathryn S Roberts | Psychologist | 409 Se Douglas St, Lees Summit, MO 64063-4246 | 2006-10-03 |
| 1740290063 | Carl Stanley Marr | Psychologist | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2006-08-09 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64081 |
Please comment or provide details below to improve the information on DR. JASON CARTER FAIRMAN.
| 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.