DR. JAN B. ROOSA (NPI# 1730151622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730151622 |
| Entity Type | Individual |
| Full Name | DR. JAN B. ROOSA |
| Credential | PH.D. |
| Practice Address |
9229 Ward Pkwy Suite 365 Kansas City MO 64114-3326 |
| Mailing Address |
6117 Morningside Dr Kansas City MO 64113-2228 |
| Practice Telephone | 8164443366 |
| Practice Fax Number | 8162371942 |
| Mailing Telephone | 8163638182 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
179 | KS | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
414 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 49862955-01 | 05 | |
| MO | BLUE CROSS/BLUE SHIELD MO | 02453018 | 01 |
| Street Address |
9229 WARD PKWY SUITE 365 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528442365 | Lucienne Lee Phd, LLC | Psychologist | 9229 Ward Pkwy, Suite 225, Kansas City, MO 64114-3326 | 2015-07-10 |
| 1912399353 | Eileen C Connell LLC | Counselor | 9229 Ward Pkwy, Kansas City, MO 64114-3326 | 2015-02-23 |
| 1427472760 | Vincenza Marash, LLC | Social Worker | 9229 Ward Pkwy, Kansas City, MO 64114-3326 | 2014-02-06 |
| 1750704433 | Vincenza Rose Marash | Social Worker | 9229 Ward Pkwy, Kansas City, MO 64114-3326 | 2014-01-30 |
| 1417384785 | Mary Zhang Chinese Medicine Clinic, Inc | Chiropractor | 9229 Ward Pkwy, Suite 107, Kansas City, MO 64114-3326 | 2013-10-02 |
| 1588977367 | Pamela Anne Darby-mullins | Psychologist | 9229 Ward Pkwy, Suite 225, Kansas City, MO 64114-3326 | 2010-07-21 |
| 1528371309 | Pamela Darby-mullins, LLC | Psychologist | 9229 Ward Pkwy, Suite 225, Kansas City, MO 64114-3326 | 2010-07-21 |
| 1790950418 | Deborah R Garnett, Ph.d. LLC | Psychologist | 9229 Ward Pkwy, Suite 225, Kansas City, MO 64114-3326 | 2008-04-23 |
| 1073709564 | Pamela Seator Md LLC | Clinic/Center | 9229 Ward Pkwy, Suite 225, Kansas City, MO 64114-3311 | 2007-09-19 |
| 1396831400 | Pamela Seator | Psychiatry & Neurology | 9229 Ward Pkwy, Suite 200, Kansas City, MO 64114-3311 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1518301753 | Angela B Duncan | Psychologist | Ku Integrative Medicine 4000 Cambridge St Mailstop 1017, Kansas City, KS 66160-0001 | 2013-04-18 |
| 1992058184 | The Luminaries Project LLC | Psychologist | 435 Nichols Rd Ste 200, Kansas City, MO 64112-2036 | 2012-10-25 |
| 1588992481 | Maureen Theresa Hennessey | Psychologist | 1229 W 62nd St Apt 1, Kansas City, MO 64113-2910 | 2009-12-03 |
| 1174717789 | Albert Buddy Poje | Psychologist | 1024 Olathe Pavilion Mail Stop 4015, 3901 Rainbow Boulevard, Kansas City, KS 66160-0001 | 2007-08-28 |
| 1023213501 | Wendi Kay Born | Psychologist | Dept of Family Medicine K U Medical Ctr, Mail Stop 4010, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2007-06-15 |
| 1073726998 | Harold Houston Jones IIi | Psychologist | 3145 Broadway St, Kansas City, MO 64111-2405 | 2007-05-07 |
| 1285852608 | Daniel L. Birmingham | Psychologist | 868 Nw South Shore Dr, Kansas City, MO 64151-1446 | 2007-04-23 |
| 1376602284 | Patricia Cohn | Psychologist | 222 West Gregory Blvd, Suite 219, Kansas City, MO 64114 | 2006-12-06 |
| 1225139553 | Amy Marie Shoffner | Psychologist | 9 Ne Munger Ave, Kansas City, MO 64119-3013 | 2006-09-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on DR. JAN B. ROOSA.
| 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.