Courtney Pippin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2009026760 Issued in MO

Practice address

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Phone

(816) 309-3151

NPI assigned

Oct 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excelsior Springs City Hospital

  • Emergency Medicine Physician
  • Excelsior Springs, MO
  • NPI 1285733923

  MO

  Medicare reassignment NPD
• Excelsior Springs City Hospital

  • Critical Access Hospital
  • Excelsior Springs, MO
  • NPI 1609870310

  MO

  Medicare reassignment NPD
• Excelsior Springs City Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Excelsior Springs, MO
  • NPI 1740387174

  MO

  Medicare reassignment NPD
• Excelsior Springs City Hospital

  • Clinic Pharmacy
  • Excelsior Springs, MO
  • NPI 1487754149
  NPD

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1962653949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "816-309-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2009026760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forest Tu Pavel, PSY.D.
• Annette Peare, LSCSW
• Jacqueline Sue Perdue-Dorathy, LPN
• Eduardo Miguel Perez, LPN
• Robert Louis Petrone, PH.D., MPH, PA-C
• Barry Robert Pockrandt, MD
• Susan Gayle Polk, RN
• Ryan Blake Province, PHARMD
• Karolina Przegienda, PSY.D
• Michelle Ralph, RDH

• All providers in Fort Leavenworth, KS
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.