Individual provider Active NPI

Michelle Macrorie, PSYD

  • Intellectual & Developmental Disabilities Psychologist
  • Overland Park, KS
National Provider Identifier
1902873680
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
1124 Issued in KS
Practice address
6811 Shawnee Mission Pkwy
Suite 100
Overland Park, KS 66202-4031
Phone
(913) 262-5700
Fax
(913) 262-5701
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002345 GA
Intellectual & Developmental Disabilities Psychologist 103TM1800X 1124 KS Primary

Addresses

Primary practice location

6811 Shawnee Mission Pkwy
Suite 100
Overland Park, KS 66202-4031

Mailing address

6811 Shawnee Mission Pkwy
Suite 100
Overland Park, KS 66202-4031
Phone (913) 262-5700

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

State licenses

LicenseStateTypeSpecialty
1124KSMDIntellectual & Developmental Disabilities Psychologist
002345GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Center LLC Past Accepting new patients
The Pediatric Center LLC Past Accepting new patients

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1902873680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SHAWNEE MISSION PKWY",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024031",
            "telephone_number": "913-262-5700",
            "fax_number": "913-262-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 SHAWNEE MISSION PKWY",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024031",
            "telephone_number": "913-262-5700",
            "fax_number": "913-262-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRORIE",
        "first_name": "MICHELLE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "002345",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "KS",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.