Organization Active NPI

Sherri Fry-Wendt PHD LLC

  • Counseling Psychologist
  • Kansas City, MO
National Provider Identifier
1164909016
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY01311 Issued in MO
Legal business name
SHERRI FRY-WENDT PHD LLC
Practice address
Northwoods Office Park
5744 N Broadway St
Kansas City, MO 64118-3998
Phone
(816) 452-6200
Fax
(816) 452-6202
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Dr. Sherri D Fry-Wendt, PHDNPI 1386793149
Title
Licensed Psychologist
Phone
(816) 452-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X PY01311 MO Primary

Addresses

Primary practice location

Northwoods Office Park
5744 N Broadway St
Kansas City, MO 64118-3998

Mailing address

7708 N Walrond Ave
Kansas City, MO 64119-1557
Phone (816) 694-6886

Other practice location 1

851 NW 45th St Ste 100
Kansas City, MO 64116-4613
Phone (816) 452-6200 ext. 2

Other practice location 2

7708 N Walrond Ave
Kansas City, MO 64119-1557
Phone (816) 694-6886 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180913001980 MO Part B Supplier - Clinic/Group Practice 9335499268 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

5744 N Broadway St
Kansas City, MO 64118
Phone (816) 452-6200

851 NW 45th St
Ste 100
Kansas City, MO 64116
Phone (816) 452-6200

5744 N Broadway St
Ofc Park
Kansas City, MO 64118
Phone (816) 452-6200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1164909016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 N WALROND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641191557",
            "telephone_number": "816-694-6886",
            "fax_number": "816-452-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHWOODS OFFICE PARK",
            "address_2": "5744 N BROADWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183998",
            "telephone_number": "816-452-6200",
            "fax_number": "816-452-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 NW 45th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641164613",
            "country_code": "US",
            "telephone_number": "816-452-6200 x2",
            "fax_number": "816-452-6202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7708 N Walrond Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641191557",
            "country_code": "US",
            "telephone_number": "816-694-6886 x2",
            "fax_number": "816-452-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHERRI FRY-WENDT PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "FRY-WENDT",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "816-452-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "PY01311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.