Provider Demographics
NPI:1447318860
Name:BARGAR, JAMES STANLEY (PH D)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STANLEY
Last Name:BARGAR
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 W 83 ST
Mailing Address - Street 2:SUITE 135
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5323
Mailing Address - Country:US
Mailing Address - Phone:913-469-9680
Mailing Address - Fax:913-492-5803
Practice Address - Street 1:4121 W 83 ST
Practice Address - Street 2:SUITE 135
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5323
Practice Address - Country:US
Practice Address - Phone:913-469-9680
Practice Address - Fax:913-492-5803
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS681103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS14609019OtherBCBS OF K C
MO14609019OtherBCBS OF K C
0000582Medicare ID - Type Unspecified