Individual provider Active NPI

Keith Jacob Kobes, PH.D.

  • Psychologist
  • Overland Park, KS
National Provider Identifier
1073738233
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
878 Issued in KS
Practice address
8575 W. 110TH St
218
Overland Park, KS 66210-2620
Phone
(913) 345-0033
Fax
(913) 345-0177
NPI assigned
Apr 14, 2007
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 878 KS Primary

Addresses

Primary practice location

8575 W. 110TH St
218
Overland Park, KS 66210-2620

Mailing address

10465 S Mockingbird LN
Olathe, KS 66061-2777
Phone (913) 220-8448

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
I20120308000375 KS Practitioner - Clinical Psychologist 5496791881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8575 W 110TH St
Suite 200
Overland Park, KS 66210-2774
Phone (913) 345-0033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
878KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Kobes, LLC CurrentSince Feb 1, 2017 Accepting new patients
David Pulcher, PH.D., LLC Psychologist PastSince Oct 5, 2021 Accepting new patients
Neal Barton Deutch Psychologist Past Accepting new patients
John T Bopp PC Past Accepting new patients
BPH LLC Past Accepting new patients

Locations

8575 W 110th St
Ste 200
Overland Park, KS 66210
Phone (913) 345-0033

8575 W 110th St
Ste 218
Overland Park, KS 66210
Phone (913) 345-0033

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1073738233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 S MOCKINGBIRD LN",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612777",
            "telephone_number": "913-220-8448",
            "fax_number": "913-345-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W. 110TH ST",
            "address_2": "218",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "913-345-0033",
            "fax_number": "913-345-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBES",
        "first_name": "KEITH",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.