KALANI GATES (PHD) – Psychologist, NPI 1639621402

KALANI GATES (PHD) is a healthcare provider. based in Kansas city, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. LP03414 (KS). The NPI Number for KALANI GATES (PHD) is 1639621402

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
KALANI GATES (PHD)
NPI
1639621402
Phone
(816) 701-5200
Address
2401 GILLHAM RD
Enumeration Date
27 October 2016
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162343000
Graduation Year
2023 (3 years ago)
PAC ID
3274053541
Group Practice PAC ID
2466366026
Professional Enrollment ID
I20250429001137
Address ID
MO641084619KA2401XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

Provider Addresses for KALANI GATES (PHD)

  • 2401 GILLHAM RD

    PROVIDER ENROLLMENT DEPT

    KANSAS CITY, MO 641084619

    Phone: (816) 701-5200

    Fax: (816) 302-9939

    Type: Mailing

  • 915, Birch Street, Pawaa, Honolulu, Honolulu County, Hawaii, 96814, United States

    APT. 305

    HONOLULU, HI 968142353

    Phone: (808) 383-3723

    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: 2025-04-29

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
I20250218001549IClinical PsychologistKSTBD
I20250429001137IClinical PsychologistMOTBD

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.

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

Insurance plans in this area (ZIP 64108)

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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: 2466366026View full group profile
NameSpecialtyState
Diagnostic Radiology, Radiation OncologyMO
Pediatric MedicineTX
Anesthesiology, Cardiovascular Disease (Cardiology)KS
-MO
Diagnostic RadiologyMO
Urology, Pediatric MedicineMO
Diagnostic RadiologyMO
Pediatric Medicine, Emergency MedicineMO
-MO
-IA

Reviews

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Frequently asked questions

What is KALANI GATES (PHD)'s NPI number?
KALANI GATES (PHD)'s NPI is 1639621402 — the number used across U.S. healthcare to identify this provider.
Is KALANI GATES (PHD) shown as active in public data?
Registry records indicate KALANI GATES (PHD) maintains an active NPI.
What kind of doctor is KALANI GATES (PHD)?
KALANI GATES (PHD) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is KALANI GATES (PHD) registered?
Use Kansas City, Missouri as the headline location for KALANI GATES (PHD) here.
Can I trust this NPI listing for KALANI GATES (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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