REBECCA JOHNSON (PH.D.) – Clinical Psychologist, NPI 1760401731
Clinical Psychologist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
449 CLINICAL PSYCHOLOGIST in MO
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Provider Addresses for REBECCA JOHNSON (PH.D.)
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
PROVIDER ENROLLMENT DEPT
KANSAS CITY, MO 641084619
Phone: (816) 701-5200
Fax: (816) 302-9939
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2014-12-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061208000564 | I | Clinical Psychologist | MO | TBD |
| I20141229000932 | I | Clinical Psychologist | KS | 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.
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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
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Radiation Oncology | MO | |
| Pediatric Medicine | TX | |
| Anesthesiology, Cardiovascular Disease (Cardiology) | KS | |
| - | MO | |
| Diagnostic Radiology | MO | |
| Urology, Pediatric Medicine | MO | |
| Diagnostic Radiology | MO | |
| Pediatric Medicine, Emergency Medicine | MO | |
| - | MO | |
| - | IA |
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