STEPHEN MICHAEL KANNE (PHD) – Clinical Child & Adolescent Psychologist, NPI 1780648014
Clinical Child & Adolescent Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for STEPHEN MICHAEL KANNE (PHD)
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
Columbia Post Office, 6801, Oak Hall Lane, Howard County, Maryland, 21045, United States
COLUMBIA, MO 652057687
Phone: (573) 882-2259
Type: Mailing
205, Portland Street, Columbia, Boone County, Missouri, 65201, United States
COLUMBIA, MO 652016521
Phone: (573) 884-6052
Fax: (573) 884-1151
Type: Location
701 VETERANS UNITED DR
COLUMBIA, MO 652014236
Phone: (573) 884-6052
Fax: (573) 884-1151
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: 2025-01-23
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 |
|---|---|---|---|---|
| I20060214000050 | I | Clinical Psychologist | MO | TBD |
| I20250123001785 | I | Clinical Psychologist | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64184)
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