Luca Anelli
Individual provider Active NPI Psychologist · Olathe, KS
NPI 1679154173 · NPPES record last updated Apr 16, 2021
Key facts
- NPI
- 1679154173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 03032 (KS)
- Practice address
- 480 S Rogers Rd
Olathe, KS 66062-1706 - Phone
- (913) 765-2887
- Fax
- (913) 768-1437
- NPI assigned
- Apr 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03032 | KS | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03032 | KS | Yes |
Addresses
Primary practice location
480 S Rogers Rd
Olathe, KS 66062-1706
Mailing address
480 S Rogers Rd
Olathe, KS 66062-1706
Phone (913) 765-2887
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.