Individual provider Active NPI

Ann M Davis, PHD

  • Clinical Psychologist
  • Kansas City, KS
National Provider Identifier
1093824039
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1117 Issued in KS
Practice address
2000 Olathe Blvd
Kansas City, KS 66160-8505
Phone
(913) 588-6300
Fax
(913) 588-2253
NPI assigned
Aug 30, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP1117 KS Primary

Addresses

Primary practice location

2000 Olathe Blvd
Kansas City, KS 66160-8505

Mailing address

2106 Olathe Blvd Ms 4004
Kansas City, KS 66160-7816
Phone (913) 588-6300

Other identifiers 4

IdentifierTypeStateIssuer
680013642OtherRAILROAD MEDICARE
31435018OtherMOBCBS KANSAS CITY
495338402MedicaidMO
100402530AMedicaidKS

Other names 1

  • Ann M McGrath Former name

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
I20110114000599 KS Practitioner - Clinical Psychologist 6406836337 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP1117KSMDClinical Psychologist
1117KSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince May 9, 2011 Accepting new patients
Kansas University Physicians Inc CurrentSince May 9, 2011 Accepting new patients
Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri PA Past Accepting new patients
Pediatric Specialty Clinic, LLC PastSince Oct 18, 2010 Accepting new patients

Locations

2000 Olathe
Kansas City, KS 66160
Phone (913) 588-1908

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
#4017
Kansas City, KS 66160
Phone (913) 588-1944

3901 Rainbow Blvd
Stop 4004
Kansas City, KS 66160
Phone (913) 588-6301

3901 Rainbow Blvd
Stop 4017
Kansas City, KS 66160
Phone (913) 588-6670

Interoperability endpoints

  • Direct secure messaging: adavis12866@direct.kuha.org

Organizations & group practices 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1093824039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 OLATHE BLVD MS 4004",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661607816",
            "telephone_number": "913-588-6300",
            "fax_number": "913-588-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLATHE BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608505",
            "telephone_number": "913-588-6300",
            "fax_number": "913-588-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP1117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680013642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "31435018",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495338402",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100402530A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "MCGRATH",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.