LAURA FLYNN (PSY.D.) – Psychologist, NPI 1790056570

LAURA FLYNN (PSY.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 2011033589 (MO). The NPI Number for LAURA FLYNN (PSY.D.) is 1790056570

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
LAURA FLYNN (PSY.D.)
NPI
1790056570
Phone
(816) 468-0400
Address
3100 NE 83RD ST
Enumeration Date
25 January 2012
Last Update Date
2 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692810408
Graduation Year
1997 (29 years ago)
PAC ID
6901065119
Group Practice PAC ID
6507286721
Professional Enrollment ID
I20220314000658
Address ID
MI490853268SA2500XRDXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

Provider Addresses for LAURA FLYNN (PSY.D.)

  • 3100 NE 83RD ST

    SUITE 1001

    KANSAS CITY, MO 641194400

    Phone: (816) 468-0400

    Fax: (816) 468-6623

    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)

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: 2022-03-14

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
I20220314000658IClinical PsychologistMITBD

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 64119)

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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: 6507286721View full group profile
NameSpecialtyState
Clinical PsychologistMI
Emergency MedicineMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

How do payers reference LAURA FLYNN (PSY.D.)?
For LAURA FLYNN (PSY.D.), use NPI 1790056570 as the unique 10-digit identifier.
Is LAURA FLYNN (PSY.D.) still an active registrant?
LAURA FLYNN (PSY.D.) carries an active NPI according to the public dataset.
What kind of doctor is LAURA FLYNN (PSY.D.)?
LAURA FLYNN (PSY.D.) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for LAURA FLYNN (PSY.D.)?
Travel planning: use Kansas City, Missouri as the reference point for LAURA FLYNN (PSY.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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