Active NPI
Danielle Lynn Skirchak, M.D.
- Psychiatry Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2015025549
- Practice address
- 5904 E Bannister Rd
Kansas City, MO 64134-1141 - Phone
- (816) 966-0903
- Fax
- (816) 761-3433
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31729 | KS | |
| Psychiatry Physician | 2084P0800X | 2015025549 | MO | Primary |
Addresses
Primary practice location
5904 E Bannister Rd
Kansas City, MO 64134-1141
Mailing address
1555 NE Rice Rd
Lees Summit, MO 64086-5849
Phone (816) 966-0903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015025549 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000
5904 E Bannister Rd
Bannister Clinic
Kansas City, MO 64134-1141
Phone (816) 966-0900
901 NE Independence Ave
Lees Summit, MO 64086-5544
Phone (816) 246-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31729 | KS | MD | Psychiatry Physician |
| 2015025549 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rediscover | Current | Accepting new patients | |
| Rediscover | Current | Accepting new patients |
Locations
5904 E Bannister Rd
Kansas City, MO 64134
Phone (816) 966-0903
8800 Blue Ridge Blvd
Ste 100
Kansas City, MO 64138
Phone (816) 347-4235
1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069
901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lee's Summit, MO
- NPI 1841235298
-
dba Cottonwood Springs Physician Group
- Psychiatry Physician
- Olathe, KS
- NPI 1538533443
-
- Methadone Clinic
- Kansas City, MO
- NPI 1659749414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1750484242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 NE RICE RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865849",
"telephone_number": "816-966-0903",
"fax_number": "816-761-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5904 E BANNISTER RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641341141",
"telephone_number": "816-966-0903",
"fax_number": "816-761-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIRCHAK",
"first_name": "DANIELLE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2021-09-28",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "31729",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2015025549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2015025549",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.