SHAYLA ANN SULLIVANT M.D.
NPI 1710009774
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kansas City, MO

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3674(816) 346-1382 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shayla Ann Sullivant M.d. NPPES

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

SHAYLA ANN SULLIVANT M.D. (NPI 1710009774) is an individual child & adolescent psychiatry provider in Kansas City, Missouri, licensed in Missouri (2010028299) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2005).

NPPES Registry Identity

NPI1710009774
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSHAYLA ANN SULLIVANTCredential: M.D.
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 234-3674 · Fax (816) 346-1382
Fax(816) 346-1382
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2005
Enumeration DateApril 3, 2007
Last NPPES UpdateOctober 5, 2010
NPI 1710009774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in MO · 2010028299 Licensed in KS · 9406387
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2401 GILLHAM RD, Kansas City, MO 64108

Other Names 1

Former Name (1)Shayla Ann Sullivant Dehaemers M.d.

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 and accepts Medicare assignment

Shayla Ann Sullivant M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274753694
PECOS Enrollment IDI20141008000081, I20141010001631
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
Nurse Practitioner (Neonatal, Critical Care)
2401 GILLHAM RD
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

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 Shayla Sullivant's NPI number?

The NPI number for Shayla Sullivant is 1710009774. It was assigned to this individual provider in the NPPES registry on April 3, 2007. The provider is also known as Shayla Ann Sullivant Dehaemers M.D..

Where is Shayla Sullivant located?

Shayla Sullivant practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3674.

What is Shayla Sullivant's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shayla Sullivant enrolled in Medicare?

Yes. Shayla Sullivant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shayla Sullivant accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Shayla Sullivant 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 Shayla Sullivant was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.