Individual
CY BORMAN NADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9435
NE
103TC0700X
Clinical Psychologist
Primary
2013006410
MO
103TC0700X
Clinical Psychologist
2170
KS
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2013006410
MO
103TC2200X
Clinical Child & Adolescent Psychologist
2170
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
07/25/2011
Last updated
03/26/2026
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