| A New Lens Psychological Services, Llc | |
|
9229 Ward Pkwy Ste 260 Kansas City MO 64114-3333 | |
| (816) 289-2687 | |
| (913) 273-1561 |
| Full Name | A New Lens Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9229 Ward Pkwy Ste 260, Kansas City, Missouri |
| Authorized Official Name and Position | Kenneth Gregory Burke (MEMBER) |
| Authorized Official Contact | 8162892687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Lens Psychological Services, Llc 4419 W 112th Ter Leawood KS 66211-1718 Ph: (816) 289-2687 | A New Lens Psychological Services, Llc 9229 Ward Pkwy Ste 260 Kansas City MO 64114-3333 Ph: (816) 289-2687 |
| NPI Number | 1497427496 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 7618335225 |
|---|---|
| Medicare Enrollment ID | O20230614000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497427496 | NPI | - | NPPES |
| 1999140256 | Other | MO | MISSOURI LICENSED PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Carla E Burke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275686719 PECOS PAC ID: 6507099363 Enrollment ID: I20140501000042 |
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