Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Missouri

Organization Psychiatry Physician · NPI 1386198448

State of Missouri provides Psychiatry Physician services in Kansas City, Missouri. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

821 Admiral Blvd
Kansas City, MO 64106-1516
Phone: (816) 889-3400
Fax: (816) 889-3325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1386198448
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Developmental Disabilities Behavior Services; Developmental Disabilities Behavior Services
NPI enumeratedAugust 6, 2016
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing addressPo Box 687, Attn: Reimbursement Section, Jefferson City, MO 65102-0687

Other providers in Kansas City