ANDREW MARK KISELICA (PHD) – Clinical Neuropsychologist, NPI 1104434190

ANDREW MARK KISELICA (PHD) is a healthcare provider. based in Columbia, Missouri. specializing in Clinical Neuropsychologist. They hold the professional credentials PHD. They hold a License No. 2020008417 (MO). The NPI Number for ANDREW MARK KISELICA (PHD) is 1104434190

Main info

Male
Name
ANDREW MARK KISELICA (PHD)
NPI
1104434190
Phone
Not provided
Address
115 W BUSINESS LOOP 70
Enumeration Date
16 July 2020
Last Update Date
5 October 2022

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

Provider Addresses for ANDREW MARK KISELICA (PHD)

  • 115 W BUSINESS LOOP 70

    COLUMBIA, MO 652033244

    Phone:

    Type: Mailing

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 701 S 5TH ST

    CLARK HALL RM 501

    COLUMBIA, MO 652110001

    Phone: (573) 882-1561

    Fax: (573) 884-1889

    Type: Location

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

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 65203)

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Frequently asked questions

What unique ID ties claims to ANDREW MARK KISELICA (PHD)?
NPI 1104434190 is assigned to ANDREW MARK KISELICA (PHD) under the national enumeration system.
Is ANDREW MARK KISELICA (PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANDREW MARK KISELICA (PHD) list a primary specialty?
If you are matching referrals, note Clinical Neuropsychologist for ANDREW MARK KISELICA (PHD). Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREW MARK KISELICA (PHD)?
The page summarizes Columbia, Missouri for ANDREW MARK KISELICA (PHD); expand the address list for detail.
What if Columbia, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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