Megan B Bolch, PHD
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Overland Park, KS
NPI 1003914219 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1003914219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- 1360 (KS)
- Practice address
- 5808 W 110TH St
Overland Park, KS 66211-2504 - Phone
- (913) 696-8000
- Fax
- (816) 302-9939
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1360 | KS | MD | Clinical Child & Adolescent Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1360 | KS | Yes |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2005032299 | MO |
Addresses
Primary practice location
5808 W 110TH St
Overland Park, KS 66211-2504
Mailing address
2401 Gillham Rd.
Provider Enrollment
Kansas City, MO 64108-4619
Phone (816) 701-5200
Other providers in Overland Park, KS
- Jennifer L Boggess
- Jessica Bohlke
- Tyler Ray Bohlke
- Barry Boicourt
- Gentry Webb Boland
- Hayden Boleski
- Usha Sri Bollineni
- Jill Maureen Bolling
- Julie Bollinger
- Kathleen A Bolt
All providers in Overland Park, KS · Clinical Child & Adolescent Psychologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.