Individual provider Active NPI

Ravindran Sabapathy, PSY. D

  • Psychologist
  • Lenexa, KS
National Provider Identifier
1457327801
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1179 Issued in KS
Practice address
23351 Prairie Star Pkwy Ste A305
Lenexa, KS 66227-7376
Phone
(913) 677-6319
NPI assigned
Feb 27, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 1179 KS Primary

Addresses

Primary practice location

23351 Prairie Star Pkwy Ste A305
Lenexa, KS 66227-7376

Mailing address

23401 Prairie Star Pkwy Ste B-300
Shawnee Mission, KS 66227-7268
Phone (913) 676-2679

Other practice location 1

9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100909000702 KS Practitioner - Clinical Psychologist 5496870776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Minnesota Medical School, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
KC Bariatric LLCGroup PAC ID 3375600182, 16 clinicians

Practice addresses (Care Compare)

23401 Prairie Star Pkwy
Suite B 300
Lenexa, KS 66227-7268
Phone (913) 677-6319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
563NEMDMental Health Counselor
1179KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
KC Bariatric, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1457327801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23401 PRAIRIE STAR PKWY STE B-300",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662277268",
            "telephone_number": "913-676-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE A305",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277376",
            "telephone_number": "913-677-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 W 74th St",
            "address_purpose": "LOCATION",
            "city": "Shawnee Mission",
            "state": "KS",
            "postal_code": "662044004",
            "country_code": "US",
            "telephone_number": "913-676-2679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABAPATHY",
        "first_name": "RAVINDRAN",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.