DR. ERIC THOMAS GAUGHAN PH.D.
NPI 1487904413
Psychologist - Clinical in Kansas City, MO
About Dr. Eric Thomas Gaughan Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERIC THOMAS GAUGHAN PH.D. (NPI 1487904413) is an individual clinical provider in Kansas City, Missouri, licensed in Missouri (2012001804) and active in the NPI registry since September 2012. He has opted out of Medicare through July 8, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Eric Thomas Gaughan Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2015 through July 8, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Eric Gaughan's NPI number?
The NPI number for Eric Gaughan is 1487904413. It was assigned to this individual provider in the NPPES registry on September 18, 2012.
Where is Eric Gaughan located?
Eric Gaughan practices at 300 W 19th Ter, Kansas City, MO 64108. The listed phone number is (816) 803-3545.
What is Eric Gaughan's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Eric Gaughan enrolled in Medicare?
No. Eric Gaughan has opted out of Medicare through July 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Eric Gaughan was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Eric Thomas Gaughan, PH.D. · NPI 1487904413
Clinical provider in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since September 18, 2012.
## Identity
- **NPI:** 1487904413 (Entity type: Individual)
- **Enumerated:** September 18, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 2012001804 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 W 19TH TER, Kansas City, MO 64108-2026
- **Phone:** (816) 803-3545
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 8, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** September 18, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1487904413) · Data from the CMS NPPES public registry.