Active NPI
David Wayne Pulcher, PH.D.
- Psychologist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- KS#746
- Practice address
- 8575 W 110TH St Ste 200
Overland Park, KS 66210-2774 - Phone
- (913) 345-0033
- Fax
- (913) 345-0177
- NPI assigned
- Jul 4, 2006
- Last updated
- Oct 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | KS LP #0746 | KS | |
| Psychologist | 103T00000X | PY01331 | MO | |
| Psychologist | 103T00000X | MO#PY01331 | MO | |
| Psychologist | 103T00000X | KS#746 | KS | Primary |
Addresses
Primary practice location
8575 W 110TH St Ste 200
Overland Park, KS 66210-2774
Mailing address
8575 W 110TH St Ste 200
Overland Park, KS 66210-2774
Phone (913) 345-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100239720A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8575 W 110TH St
Suite 200
Overland Park, KS 66210-2774
Phone 9133450033108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS LP #0746 | KS | MD | Psychologist |
| KS#746 | KS | MD | Psychologist |
| MO#PY01331 | MO | MD | Psychologist |
| PY01331 | MO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Pulcher, PH.D., LLC | Psychologist | Current | Accepting new patients |
| Shane Jones & Associates P.a. | Past | Accepting new patients | |
| Neal Barton Deutch | Psychologist | Past | Accepting new patients |
| Keith Kobes, LLC | Past | Accepting new patients |
Locations
8575 W 110th St
Ste 200
Overland Park, KS 66210
Phone (913) 345-0033
8575 W 110th St
Ste 218
Overland Park, KS 66210
Phone (913) 345-0033
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1598795304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8575 W 110TH ST STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102774",
"telephone_number": "913-345-0033",
"fax_number": "913-345-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 W 110TH ST STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102774",
"telephone_number": "913-345-0033",
"fax_number": "913-345-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULCHER",
"first_name": "DAVID",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2021-10-05",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "KS LP #0746",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PY01331",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "MO#PY01331",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "KS#746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100239720A",
"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 Oct 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.