Provider Demographics
NPI:1801905682
Name:POST, TIMOTHY ALLEN (PSYD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:ALLEN
Last Name:POST
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1138
Mailing Address - Country:US
Mailing Address - Phone:913-209-6885
Mailing Address - Fax:
Practice Address - Street 1:8080 WARD PARKWAY
Practice Address - Street 2:SUITE 115
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2020
Practice Address - Country:US
Practice Address - Phone:816-206-0756
Practice Address - Fax:816-361-0856
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1321103T00000X
MO2004013228103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO499024032Medicaid