DR. LARRY WILLIAM TYNDALL (PH.D.) – Psychologist, NPI 1710971114

DR. LARRY WILLIAM TYNDALL (PH.D.) is a healthcare provider. based in Leawood, Kansas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. R 0306 (MO). The NPI Number for DR. LARRY WILLIAM TYNDALL (PH.D.) is 1710971114

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY WILLIAM TYNDALL (PH.D.)
NPI
1710971114
Phone
(913) 499-4300
Address
15450 IRON HORSE CIR
Enumeration Date
31 August 2005
Last Update Date
15 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9134994300
Graduation Year
1989 (37 years ago)
PAC ID
1951339183
Professional Enrollment ID
I20050803000715
Address ID
KS66224XXXXLEXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

282 CLINICAL PSYCHOLOGIST in KS

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Provider Addresses for DR. LARRY WILLIAM TYNDALL (PH.D.)

  • 15450 IRON HORSE CIR

    LEAWOOD, KS 662243852

    Phone: (913) 499-4300

    Type: Mailing

  • 8575, West 110th Street, Overland Park, Johnson County, Kansas, 66210, United States

    SUITE 302

    OVERLAND PARK, KS 662101865

    Phone: (913) 499-4300

    Fax: (913) 499-4304

    Type: Mailing

  • 15450 Iron Horse Cir

    Leawood, KS 662243852

    Phone: (913) 499-4300

    Type: Location

  • 12701 METCALF AVE STE 204

    OVERLAND PARK, KS 662132854

    Phone: (913) 499-4300

    Type: Location

  • 6240 W 135TH ST STE 200

    OVERLAND PARK, KS 662234849

    Phone: (913) 499-4300

    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: 2005-08-03

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
I20050803000715IClinical 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
90834Psychotherapy, 45 minutes21914$0
View full utilization report →

Insurance plans in this area (ZIP 66224)

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Reviews

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Frequently asked questions

How is DR. LARRY WILLIAM TYNDALL (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. LARRY WILLIAM TYNDALL (PH.D.) with NPI 1710971114.
Does CMS list DR. LARRY WILLIAM TYNDALL (PH.D.) as active?
Yes — DR. LARRY WILLIAM TYNDALL (PH.D.) is active in the NPI listing used on this page.
What is DR. LARRY WILLIAM TYNDALL (PH.D.) best known for clinically?
Directory data describes DR. LARRY WILLIAM TYNDALL (PH.D.) with Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. LARRY WILLIAM TYNDALL (PH.D.) based?
DR. LARRY WILLIAM TYNDALL (PH.D.) is tied to Leawood, Kansas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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