DR. KAYETTE MARIE GLASS (PSY.D.) – Clinical Psychologist, NPI 1215295050
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KAYETTE MARIE GLASS (PSY.D.)
526 N PRINCE LN
SPRINGFIELD, MO 658022523
Phone: (417) 874-1927
Fax: (417) 863-6159
Type: Mailing
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 654739098
Phone: (573) 596-0522
Type: Mailing
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 654739098
Phone: (573) 596-0522
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150112001796 | I | Clinical Psychologist | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 177 | 23 | $0 |
| 90832 | Psychotherapy, 30 minutes | 41 | 12 | $0 |
| 90853 | Group psychotherapy | 28 | 14 | $0 |
Insurance plans in this area (ZIP 65802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MO | |
| - | MO | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | MO | |
| - | MO | |
| Qualified Speech Language Pathologist | MO | |
| P S Y C H I A T R Y | MO | |
| Clinical Social Worker | MO | |
| Nurse Practitioner | MO |
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