Michael W Anderson, PH.D.
Individual provider Active NPI Psychologist · Overland Park, KS
NPI 1831233592 · NPPES record last updated Jan 14, 2022
Key facts
- NPI
- 1831233592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PY01662 (MO)
- Practice address
- 10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2306 - Phone
- (913) 599-3800
- Fax
- (913) 599-3817
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas Pulmonary and Sleep Specialists, LLC
Practice addresses (Care Compare)
10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2378
Phone (913) 599-3800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090911000406 | KS | Practitioner - Clinical Psychologist | 9133274392 | Reassigns benefits to 1 organization |
| I20100823000729 | MO | Practitioner - Clinical Psychologist | 9133274392 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY01662 | MO | MD | Psychologist |
| 1775 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Pulmonary and Sleep Specialists, LLC | Current |
Accepting new patients | |
| Kansas Pulmonary and Sleep Specialists Chartered | Past | Accepting new patients |
Locations
10550 Quivira Rd
Ste 530
Overland Park, KS 66215
Phone (913) 276-5130
10550 Quivira Rd
Ste 335
Overland Park, KS 66215
Phone (913) 599-3800
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY01662 | MO | Yes |
Addresses
Primary practice location
10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2306
Mailing address
222 W Gregory Blvd
Suite 100
Kansas City, MO 64114-1140
Phone (816) 361-0664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21526011 | Other | BCBSKC INDIVIDUAL # |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MICHAEL.ANDERSON@hca2.eclinicaldirectplus.com |
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.