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

Eastern Jackson County Psychiatric Assoc Inc

Organization Clinical Psychologist · NPI 1356305999

Eastern Jackson County Psychiatric Assoc Inc is a Clinical Psychologist in Independence, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17221 E 23rd St S #206
Independence, MO 64057-1803
Phone: (816) 373-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1356305999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Kurtz — Practice Administrator · (816) 373-1911
NPI enumeratedApril 12, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address17221 E 23rd St S, 206, Independence, MO 64057-1803

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