KEVIN CARPENTER – Clinical Psychologist, NPI 1134664857

KEVIN CARPENTER is a healthcare provider. based in Platte city, Missouri. specializing in Clinical Psychologist. They hold a License No. 2019012713 (MO). The NPI Number for KEVIN CARPENTER is 1134664857

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CARPENTER
NPI
1134664857
Phone
(805) 657-5427
Address
22 GATES DR
Enumeration Date
4 January 2017
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5735924100
Graduation Year
2018 (8 years ago)
PAC ID
7214369834
Group Practice PAC ID
1456254226
Professional Enrollment ID
I20191119002284
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for KEVIN CARPENTER

  • 22 GATES DR

    PLATTE CITY, MO 640799656

    Phone: (805) 657-5427

    Type: Mailing

  • 5600 NE ANTIOCH RD

    SUITE 214

    GLADSTONE, MO 64119

    Phone: (816) 659-1478

    Type: Location

  • 110, Albany Drive, Columbia, Boone County, Missouri, 65201, United States

    COLUMBIA, MO 652016605

    Phone: (805) 657-5427

    Type: Mailing

  • 901, Junipero Drive, Duarte, Los Angeles County, California, 91010, United States

    DUARTE, CA 910103711

    Phone: (805) 657-5427

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64079)

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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: 1456254226View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KEVIN CARPENTER in U.S. healthcare records?
The official identifier for KEVIN CARPENTER is NPI 1134664857.
Is there an active status for KEVIN CARPENTER?
For scheduling context, KEVIN CARPENTER is shown as active in the registry.
What expertise is attributed to KEVIN CARPENTER?
KEVIN CARPENTER's specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEVIN CARPENTER?
Travel planning: use Platte City, Missouri as the reference point for KEVIN CARPENTER, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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