Individual provider Active NPI

Michael W Anderson, PH.D.

  • Psychologist
  • Overland Park, KS
National Provider Identifier
1831233592
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY01662 Issued in 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
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY01662 MO Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.ANDERSON@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090911000406 KS Practitioner - Clinical Psychologist 9133274392 Reassigns benefits to 1 organization
I20100823000729 MO Practitioner - Clinical Psychologist 9133274392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Pulmonary and Sleep Specialists, LLCGroup PAC ID 8325223142, 8 clinicians

Practice addresses (Care Compare)

10550 Quivira Rd
Suite 335
Overland Park, KS 66215-2378
Phone (913) 599-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY01662MOMDPsychologist
1775KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Pulmonary and Sleep Specialists, LLC CurrentSince May 13, 2019 Accepting new patients
Kansas Pulmonary and Sleep Specialists Chartered Past Accepting new patients

Locations

10550 Quivira Rd
Ste 335
Overland Park, KS 66215
Phone (913) 599-3800

10550 Quivira Rd
Ste 530
Overland Park, KS 66215

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: michael.anderson@hca2.eclinicaldirectplus.com

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, 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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1831233592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W GREGORY BLVD",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141140",
            "telephone_number": "816-361-0664",
            "fax_number": "816-361-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD",
            "address_2": "SUITE 335",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-599-3800",
            "fax_number": "913-599-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.ANDERSON@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10550 Quivira Rd",
            "address_2": "SUITE 335",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.