M A Mirza, LLC
M A Mirza, LLC is a healthcare organization registered as Prescribing (Medical) Psychologist in Lees Summit, MO, holding Type 2 (organization) NPI 1376757617 since 2007. The authorized official on file is Mohammed Mirza, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376757617 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | M A Mirza, LLC |
| Other name | <Unavail> |
| Practice address | 4045 NE LAKEWOOD WAY, SUITE 130, Lees Summit, MO, 64064 |
| Phone | 8168862184 |
| Fax | 8168862397 |
| Enumeration date | 2007-05-09 |
| Last updated in NPPES | 2014-03-21 |
Authorized official
| Name | Mohammed Mirza |
|---|---|
| Title | Owner |
| Phone | 8162285335 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TP0016X | Prescribing (Medical) Psychologist | Primary | RICIO | MO |
Copy-ready billing details
Provider: M A Mirza, LLC NPI: 1376757617 Taxonomy: 103TP0016X (Prescribing (Medical) Psychologist) Address: 4045 NE LAKEWOOD WAY, SUITE 130, Lees Summit, MO, 64064
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396723706 | Casey Prough | Individual | Psychiatry Physician | Lees Summit, MO |
| 1871525162 | Marguerite French | Individual | Psychiatry Physician | Lees Summit, MO |
| 1134235112 | Bruce Rosenbaum | Individual | General Practice Dentistry | Lees Summit, MO |
| 1710067822 | Mohammed Mirza | Individual | Psychiatry Physician | Lees Summit, MO |
| 1336355585 | Shubha Raja | Individual | Child & Adolescent Psychiatry Physician | Lees Summit, MO |
Verify this record
Cross-check NPI 1376757617 against the authoritative CMS record: view M A Mirza, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is M A Mirza, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-03-21.