KADIE M HARRY (PHD) – Clinical Psychologist, NPI 1710539507

KADIE M HARRY (PHD) is a healthcare provider. based in Mission, Kansas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2019034441 (MO). The NPI Number for KADIE M HARRY (PHD) is 1710539507

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KADIE M HARRY (PHD)
NPI
1710539507
Phone
Not provided
Address
6022 W 51ST ST
Enumeration Date
11 July 2019
Last Update Date
20 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
7012247158
Group Practice PAC ID
3577476894
Professional Enrollment ID
I20191002002806
Address ID
MO641113220KA4401XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

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Provider Addresses for KADIE M HARRY (PHD)

  • 6022, West 51st Street, Mission, Johnson County, Kansas, 66202, United States

    MISSION, KS 662021729

    Phone:

    Type: Mailing

  • 4321, Washington Street, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States

    KANSAS CITY, MO 641115905

    Phone: (816) 932-5912

    Type: Location

  • 901 E 104TH ST

    MAILSTOP 400S

    KANSAS CITY, MO 64131

    Phone: (816) 932-1711

    Fax: (816) 932-1719

    Type: Mailing

  • 4401 WORNALL RD

    KANSAS CITY, MO 641113220

    Phone: (816) 931-1711

    Type: Location

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: 2019-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191002002806IClinical PsychologistMOTBD
I20191002002935IClinical 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 hour5525$0
90791Psychiatric diagnostic evaluation3535$0
90834Psychotherapy, 45 minutes3219$0
View full utilization report →

Insurance plans in this area (ZIP 66202)

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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: 3577476894View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Internal MedicineMO
Cardiovascular Disease (Cardiology)KS
Family PracticeMO
Hospitalist, Internal MedicineMO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO

Reviews

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Frequently asked questions

What is the registry number for KADIE M HARRY (PHD)?
The registry entry for KADIE M HARRY (PHD) shows NPI 1710539507.
Does the public listing show KADIE M HARRY (PHD) as active?
KADIE M HARRY (PHD)'s NPI record reflects an active status in NPPES.
What type of care does KADIE M HARRY (PHD) provide?
KADIE M HARRY (PHD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is KADIE M HARRY (PHD) tied to Mission, Kansas?
If you are local to Mission, Kansas, KADIE M HARRY (PHD) may be relevant to your search.
Can I export KADIE M HARRY (PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.