Individual provider Active NPI

Daniel Richard Fecht, PHD

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1790769719
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00368 Issued in MO
Practice address
3100 Broadway St
Ste 1104
Kansas City, MO 64111-2658
Phone
(816) 753-3333
Fax
(816) 753-7744
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00368 MO Primary
Counseling Psychologist 103TC1900X 00368 MO
Health Service Psychologist 103TH0100X 00368 MO

Addresses

Primary practice location

3100 Broadway St
Ste 1104
Kansas City, MO 64111-2658

Mailing address

3100 Broadway St
Ste 1104
Kansas City, MO 64111-2658
Phone (816) 753-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00368MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1790769719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST",
            "address_2": "STE 1104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-753-3333",
            "fax_number": "816-753-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST",
            "address_2": "STE 1104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-753-3333",
            "fax_number": "816-753-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHT",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "00368",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "00368",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MO",
            "license": "00368",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 12, 2010; 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.