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

Active since April 03, 2007PECOS Enrolled
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: July 19, 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.

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
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 (PECOS)

Shayla Ann Sullivant M.d. 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 Gastroenterology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Nurse Practitioner (Pediatrics)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Orthopaedic Surgery
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD, DEPARTMENT OF PEDIATRICS
KANSAS CITY, MO 64108
Pediatrics (Pediatric Infectious Diseases)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Neonatal-Perinatal Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Genetic Counselor, MS
2401 GILLHAM RD
KANSAS CITY, MO 64108
Genetic Counselor, MS
2401 GILLHAM RD, CHILDREN'S MERCY HOSPITALS AND CLINICS
KANSAS CITY, MO 64108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710009774, enumerated as an "individual" on April 03, 2007.

The provider is located at 2401 GILLHAM RD KANSAS CITY, MO 64108 and the phone number is (816) 234-3674.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Blue. Please consult your insurance carrier or call the provider to verify.