Active NPI
Michelle Abella, PSY.D
- Clinical Psychologist
- Olathe, KS
National Provider Identifier
1104015197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1673
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 071007363 | IL | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.