Individual provider Active NPI

Micaela Patricia Wexler, D.O.

  • Psychiatry Physician
  • Kansas City, KS
National Provider Identifier
1265631527
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2010005431 Issued in MO
Practice address
4203 Booth St
Kansas City, KS 66103-3116
Phone
(913) 948-0688
Fax
(913) 261-9634
NPI assigned
Jul 16, 2007
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2010005431 MO Primary

Addresses

Primary practice location

4203 Booth St
Kansas City, KS 66103-3116

Mailing address

12306 Pawnee LN
Leawood, KS 66209-1407
Phone (913) 948-0688

Other names 1

  • Micaela Patricia Donaldson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221212002616 TX Practitioner - Clinical Psychologist 3072643980 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children's Physician Group CurrentSince Nov 16, 2022 Accepting new patients
Wexler Family Psychiatry Past Accepting new patients
Summit Medical Group, PLLC PastSince Aug 1, 2022 Accepting new patients

Locations

1102 Bates Ave
#1450
Houston, TX 77030

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: mwexler@landmarkhealth-direct.org
  • Direct secure messaging: mwexler440149@prddirect.texaschildrens.org

Organizations & group practices 3

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1265631527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12306 PAWNEE LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091407",
            "telephone_number": "913-948-0688",
            "fax_number": "913-261-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 BOOTH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033116",
            "telephone_number": "913-948-0688",
            "fax_number": "913-261-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXLER",
        "first_name": "MICAELA",
        "middle_name": "PATRICIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2010005431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAELA",
            "last_name": "DONALDSON",
            "middle_name": "PATRICIA",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.