DR. PAUL W. ANDERSON (PH.D.) – Counseling Psychologist, NPI 1235166604

DR. PAUL W. ANDERSON (PH.D.) is a healthcare provider. based in Overland park, Kansas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 054 (KS). The NPI Number for DR. PAUL W. ANDERSON (PH.D.) is 1235166604

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL W. ANDERSON (PH.D.)
NPI
1235166604
Phone
(913) 991-2302
Address
8216 W 113TH TER
Enumeration Date
28 June 2006
Last Update Date
11 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9139912302
Graduation Year
1979 (47 years ago)
PAC ID
5991940694
Group Practice PAC ID
1557592094
Professional Enrollment ID
I20220506001566
Address ID
KS662102425OV8216XTERX400
Telehealth
Yes

Contacts

Main Contact
https://familymarriagecounselingkansascity.com/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

282 CLINICAL PSYCHOLOGIST in KS

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Provider Addresses for DR. PAUL W. ANDERSON (PH.D.)

  • 8216, West 113th Terrace, Quail Valley, Overland Park, Johnson County, Kansas, 66210, United States

    OVERLAND PARK, KS 662102425

    Phone: (913) 991-2302

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220506001566IClinical PsychologistKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour25856$0
90791Psychiatric diagnostic evaluation6161$0
View full utilization report →

Insurance plans in this area (ZIP 66210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557592094View full group profile
NameSpecialtyState
Clinical Social WorkerSC

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PAUL W. ANDERSON (PH.D.)?
DR. PAUL W. ANDERSON (PH.D.) — NPI 1235166604 — is the standard way to identify this listing.
Does the file indicate DR. PAUL W. ANDERSON (PH.D.) is practicing under active NPI?
Directory data currently reports DR. PAUL W. ANDERSON (PH.D.) as active.
What is DR. PAUL W. ANDERSON (PH.D.) best known for clinically?
Directory data describes DR. PAUL W. ANDERSON (PH.D.) with Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What area does DR. PAUL W. ANDERSON (PH.D.) serve?
DR. PAUL W. ANDERSON (PH.D.)'s listing highlights Overland Park, Kansas; more addresses can appear in NPPES.
Is the information about DR. PAUL W. ANDERSON (PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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