Carolyn Sue Pepper, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2731 Issued in KS

Practice address

10551 Barkley St Ste 201
Overland Park, KS 66212-1812

Phone

(913) 906-9559

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1700429982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10551 BARKLEY ST STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121812",
            "telephone_number": "913-906-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10551 BARKLEY ST STE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121812",
            "telephone_number": "913-906-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cpepper@bhsks.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Behavioral Health Specialists Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10551 Barkley St Ste 201",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662121812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Rose Penn, M.A.
• Denice M Penn, ARNP
• Nikiya M. Penn, P.T.A.
• Dante Carlo Pennipede, MD
• Vincent A Pennipede, OD
• Thomas Perdue, PSY.D.
• Isamarie Perez, RBT
• Lindsey Ann Perez, LPC
• Victor Manuel Perez Sr., M.D.
• Performance Health Solutions

• Clinical Psychologist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.