M A MIRZA, LLC
M A MIRZA, LLC is a Prescribing (Medical) Psychologist in Lees Summit, MO, registered under NPI 1376757617.
Getting there
The practice address on file is 4045 NE LAKEWOOD WAY SUITE 130, Lees Summit, MO 64064. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| RICIO | MO | Prescribing (Medical) Psychologist primary |
This provider holds licence RICIO issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4284865056
- Enrollment ID
- O20140319001260
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Prescribing (Medical) covers
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. NUCC Health Care Provider Taxonomy, code 103TP0016X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1376757617 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 9, 2007 |
| Last updated | Mar 21, 2014 |
| Status | Deactivated |
| Sole proprietor | No |
| Practice address |
4045 NE LAKEWOOD WAY SUITE 130 Lees Summit, MO 64064 (816) 886-2184 Fax (816) 886-2397 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 7 | 6 | 7 | 5 | 7 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 5 | 5 | 5 | 6 | 2 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.