Individual provider Active NPI

Mary J. Yanics, PH.D.

  • Clinical Psychologist
  • Overland Park, KS
National Provider Identifier
1043313885
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 985 Issued in KS
Practice address
5930 W 87TH St
Overland Park, KS 66207-1535
Phone
(913) 484-8410
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 985 KS Primary
Clinical Psychologist 103TC0700X PY R0477 MO

Addresses

Primary practice location

5930 W 87TH St
Overland Park, KS 66207-1535

Mailing address

5930 W 87TH St
Overland Park, KS 66207-1535
Phone (913) 484-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070221000450 KS Practitioner - Clinical Psychologist 1951403922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5930 W 87TH St
Overland Park, KS 66207-1535
Phone (913) 484-8410

8340 Mission Rd
Suite 228
Prairie Village, KS 66206-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
985KSMDAddiction (Substance Use Disorder) Counselor
PSY 985KSMDClinical Psychologist
PY R0477MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary J. Yanics, PH.D., LLC Clinical CurrentSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1043313885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662071535",
            "telephone_number": "913-484-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 W 87TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662071535",
            "telephone_number": "913-484-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANICS",
        "first_name": "MARY",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "PSY 985",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY R0477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.