Active NPI
Karen Eileen Gingerich, PHD
- Psychologist
- Overland Park, KS
National Provider Identifier
1275639445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1274
- Practice address
- 9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097 - Phone
- (816) 522-3566
- Fax
- (913) 772-8580
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2002011109 | MO | |
| Psychologist | 103T00000X | 1274 | KS | Primary |
Addresses
Primary practice location
9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097
Mailing address
6320 Brookside PLZ Ste 290
Kansas City, MO 64113-1709
Phone (816) 304-1646
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119896 | Other | KS | KANSAS BCBS |
| 004517 | Other | KS | KANSAS BCBS GROUP |
| 36348021 | Other | KS | KC BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002011109 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1275639445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 BROOKSIDE PLZ STE 290",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641131709",
"telephone_number": "816-304-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 INDIAN CREEK PKWY STE 660",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102097",
"telephone_number": "816-522-3566",
"fax_number": "913-772-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGERICH",
"first_name": "KAREN",
"middle_name": "EILEEN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2002011109",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "1274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS BCBS",
"identifier": "119896",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS BCBS GROUP",
"identifier": "004517",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KC BCBS",
"identifier": "36348021",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.