MALLORY DANIELLE NETZ PHD
NPI 1376197004
Psychologist - Clinical Child & Adolescent in Kansas City, MO

Active since July 31, 2019PECOS Enrolled
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2026, Jan 31, 2022, Jul 27, 2021 and 1 more (4 updates tracked since 2019).

About Mallory Danielle Netz Phd NPPES

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

MALLORY DANIELLE NETZ PHD (NPI 1376197004) is an individual clinical child & adolescent provider in Kansas City, Missouri, licensed in Missouri (2021011991) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376197004
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameMALLORY DANIELLE NETZCredential: PHD
Location Address2401 GILLHAM RD, PROVIDER ENROLLMENT DEPTKansas City, MO 64108-4619
Mailing Address2401 Gillham Rd, Provider Enrollment DeptKansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939
Fax(816) 302-9939
Sole ProprietorNo
Enumeration DateJuly 31, 2019
Last NPPES UpdateJanuary 9, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
NPI 1376197004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Licenses Licensed in MO · 2021011991 Licensed in KS · LP03068
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
2401 GILLHAM RD, Kansas City, MO 64108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mallory Danielle Netz Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Dentist (Pediatric Dentistry)
2401 GILLHAM RD
KANSAS CITY, MO 64108

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 Mallory Netz's NPI number?

The NPI number for Mallory Netz is 1376197004. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Mallory Netz located?

Mallory Netz practices at 2401 Gillham Rd Provider Enrollment Dept, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Mallory Netz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Mallory Netz enrolled in Medicare?

Yes. Mallory Netz is registered in the Medicare PECOS enrollment system.

What insurance does Mallory Netz accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica and Oscar Insurance Company list Mallory Netz 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 Mallory Netz was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.