Individual provider Active NPI

Michelle Abella, PSY.D

  • Clinical Psychologist
  • Olathe, KS
National Provider Identifier
1104015197
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1673 Issued in KS
Practice address
17795 W 106TH St Ste 202
Olathe, KS 66061-3155
Phone
(913) 296-0712
Fax
(913) 273-0801
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 071007363 IL
Clinical Psychologist 103TC0700X 1673 KS Primary

Addresses

Primary practice location

17795 W 106TH St Ste 202
Olathe, KS 66061-3155

Mailing address

17795 W 106TH St Ste 202
Olathe, KS 66061-3155
Phone (913) 296-0712

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
I20091201000349 KS Practitioner - Clinical Psychologist 6305985581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abella Psychotherapy and Consulting LLCGroup PAC ID 4981998614, 5 clinicians

Practice addresses (Care Compare)

17795 W 106TH St
Suite 202
Olathe, KS 66061-3155
Phone (913) 359-3880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071007363ILMDClinical Child & Adolescent Psychologist

Organizations & group practices 1

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1104015197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17795 W 106TH ST STE 202",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613155",
            "telephone_number": "913-296-0712",
            "fax_number": "913-273-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17795 W 106TH ST STE 202",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613155",
            "telephone_number": "913-296-0712",
            "fax_number": "913-273-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLA",
        "first_name": "MICHELLE",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071007363",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.