PROFESSIONAL ASSOCIATION
NPI 1013076215
Psychologist in Leavenworth, KS

Active since December 06, 2006
3515 S 4TH STREET, LEAVENWORTH, KS 66048(913) 651-8415(913) 772-8580 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Professional Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL ASSOCIATION (NPI 1013076215) is a healthcare organization registered as a psychologist in Leavenworth, Kansas and active in the NPI registry since December 2006. The organization lists William Albert Moffitt, Vice President Owner, as its authorized official.

NPPES Registry Identity

NPI1013076215
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameFREDERICK J TIRRELL PHD PROFESSIONAL ASSOCIATION
Location Address3515 S 4TH STREETLeavenworth, KS 66048
Mailing Address3515 S 4th StreetLeavenworth, KS 66048 · (913) 651-8415 · Fax (913) 772-8580
Fax(913) 772-8580
Organization SubpartNo
Authorized OfficialWilliam Albert MoffittVice President Owner · (913) 651-8415
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013076215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3515 S 4TH STREET, Leavenworth, KS 66048

Other Names 1

Doing Business AsProfessional Association

Other Identifiers 2

Other004517KS · Bcbs Kansas
Other08422011KS · Bcbs Kansas City

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Professional Association, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Psychologist
NPI 1336244631
3515 S 4TH ST PROFESSIONAL ASSOCIATION
Leavenworth, KS 66048
(913) 651-8415
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1417052614
3515 S 4TH STREET PROFESSIONAL ASSOCIATION
Leavenworth, KS 66048
(913) 651-8415
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1710082078
3515 S 4TH ST PROFESSIONAL ASSOCIATION
Leavenworth, KS 66048
(913) 651-8415
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1083653851
809 ELMHURST BLVD
Salina, KS 67401
(785) 823-6322
✔ PECOS✔ Accepts Medicare148 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick J Tirrell Phd Professional Association's NPI number?

The NPI number for Frederick J Tirrell Phd Professional Association is 1013076215. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Professional Association.

Where is Frederick J Tirrell Phd Professional Association located?

Frederick J Tirrell Phd Professional Association is located at 3515 S 4th Street, Leavenworth, KS 66048. The listed phone number is (913) 651-8415.

What is Frederick J Tirrell Phd Professional Association's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Frederick J Tirrell Phd Professional Association enrolled in Medicare?

Yes. Frederick J Tirrell Phd Professional Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Frederick J Tirrell Phd Professional Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Frederick J Tirrell Phd Professional Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Frederick J Tirrell Phd Professional Association accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas, Inc. list Frederick J Tirrell Phd Professional Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Frederick J Tirrell Phd Professional Association was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.