Individual provider Active NPI

Sherri Diane Fry Wendt, PH.D.

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1386793149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY01311 Issued in MO
Practice address
4901 Main St Ste 408
Kansas City, MO 64112-2635
Phone
(816) 756-2773
Fax
(816) 756-0743
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY01311 MO Primary

Addresses

Primary practice location

4901 Main St Ste 408
Kansas City, MO 64112-2635

Mailing address

7803 N Mersington Ave
Kansas City, MO 64119-1275
Phone (816) 468-9278

Other identifiers 1

IdentifierTypeStateIssuer
MO PY01311OtherMOLICENSE NUMBER

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
I20080701000446 MO Practitioner - Clinical Psychologist 5698714038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5744 N Broadway St
Kansas City, MO 64118-3998
Phone (816) 452-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY01311MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherri Fry-Wendt PHD LLC CurrentSince Aug 5, 2018 Accepting new patients
Baer & Wilson LLC Psychologist Past Accepting new patients

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

Organizations & group practices 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386793149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 N MERSINGTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641191275",
            "telephone_number": "816-468-9278",
            "fax_number": "816-756-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 MAIN ST STE 408",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122635",
            "telephone_number": "816-756-2773",
            "fax_number": "816-756-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY WENDT",
        "first_name": "SHERRI",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MO PY01311",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.