Individual provider Active NPI

Kevin Kilcawley, PSY.D.

  • Clinical Psychologist
  • West Des Moines, IA
National Provider Identifier
1710383757
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001356 Issued in IA
Practice address
4401 Westown Pkwy Ste 290
West Des Moines, IA 50266-6721
Phone
(515) 421-8250
NPI assigned
Nov 18, 2014
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001356 IA Primary

Addresses

Primary practice location

4401 Westown Pkwy Ste 290
West Des Moines, IA 50266-6721

Mailing address

4401 Westown Pkwy Ste 290
West Des Moines, IA 50266-6714
Phone (515) 421-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20160223000092 IA Practitioner - Clinical Psychologist 3971808320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Psychology Services PLLCGroup PAC ID 2567893787, 4 clinicians

Practice addresses (Care Compare)

4401 Westown Pkwy
Suite 290
West Des Moines, IA 50266-6714
Phone (515) 421-8250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychology Services PLLC Clinical CurrentSince Mar 25, 2020 Accepting new patients

Locations

13375 University Ave
Ste 200A
Clive, IA 50325
Phone (515) 421-8250

2024 NW 92nd Ct
Ste 12
Clive, IA 50325
Phone (515) 421-8250

4401 Westown Pkwy
Ste 290
West Des Moines, IA 50266
Phone (515) 421-8250

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1710383757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WESTOWN PKWY STE 290",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666714",
            "telephone_number": "515-421-8250",
            "fax_number": "515-724-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WESTOWN PKWY STE 290",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666721",
            "telephone_number": "515-421-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCAWLEY",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.