Individual provider Active NPI

Bill Dean Geis, PHD

  • Clinical Psychologist
  • Kansas City, MO
National Provider Identifier
1720177249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PYR0191 Issued in MO
Practice address
4700 Belleview
Suite 212
Kansas City, MO 64112
Phone
(816) 756-1227
Fax
(816) 756-1438
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PYR0191 MO Primary

Addresses

Primary practice location

4700 Belleview
Suite 212
Kansas City, MO 64112

Mailing address

4700 Belleview
Suite 212
Kansas City, MO 64112
Phone (816) 756-1227

Other identifiers 1

IdentifierTypeStateIssuer
15352014OtherMOBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20120410000049 MO Practitioner - Clinical Psychologist 4587824511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4700 Belleview Ave
Suite L12
Kansas City, MO 64112-1363
Phone (816) 756-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PYR0191MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bill Geis, PH.D., LLC CurrentSince Feb 24, 2012 Accepting new patients
David P Ehman PHD LLC Past Accepting new patients

Locations

4700 Belleview Ave
Ste L12
Kansas City, MO 64112
Phone (816) 756-1227

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720177249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW",
            "address_2": "SUITE 212",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-756-1227",
            "fax_number": "816-756-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW",
            "address_2": "SUITE 212",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-756-1227",
            "fax_number": "816-756-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIS",
        "first_name": "BILL",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PYR0191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "15352014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.