Individual provider Active NPI

Susan Jeannine Brandt, PH.D.

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1316980204
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY01666 Issued in MO
Practice address
4901 Main St
Suite 310
Kansas City, MO 64112-2646
Phone
(816) 756-2984
Fax
(816) 756-3058
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY01666 MO Primary

Addresses

Primary practice location

4901 Main St
Suite 310
Kansas City, MO 64112-2646

Mailing address

4901 Main St
Suite 310
Kansas City, MO 64112-2646
Phone (816) 756-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100416000808 MO Practitioner - Clinical Psychologist 2567599830 Practice locations: Kansas City, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

633 E 63Rd St
Kansas City, MO 64110-3331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY01666MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Head&Heart Counseling and Wellness PastSince Sep 8, 2019 Accepting new patients

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, 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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316980204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 MAIN ST",
            "address_2": "SUITE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122646",
            "telephone_number": "816-756-2984",
            "fax_number": "816-756-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 MAIN ST",
            "address_2": "SUITE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122646",
            "telephone_number": "816-756-2984",
            "fax_number": "816-756-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "SUSAN",
        "middle_name": "JEANNINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.