MARY J. YANICS, PH.D., LLC
NPI 1780959957
Psychologist - Clinical in Prairie Village, KS

Active since March 20, 2012
8340 MISSION RD, SUITE 228, PRAIRIE VILLAGE, KS 66206(913) 341-9444(913) 341-9444 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary J. Yanics, Ph.d., Llc NPPES

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

MARY J. YANICS, PH.D., LLC (NPI 1780959957) is a healthcare organization registered as a clinical in Prairie Village, Kansas and active in the NPI registry since March 2012. The organization lists Mary Jeanne Yanics, Owner/single Member, as its authorized official.

NPPES Registry Identity

NPI1780959957
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARY J. YANICS, PH.D., LLC
Location Address8340 MISSION RD, SUITE 228Prairie Village, KS 66206-1355
Mailing Address8340 Mission Rd, Suite 228Prairie Village, KS 66206-1355 · (913) 341-9444 · Fax (913) 341-9444
Fax(913) 341-9444
Organization SubpartNo
Authorized OfficialMary Jeanne YanicsOwner/single Member · (913) 341-9444
Enumeration DateMarch 20, 2012
✔ NPI 1780959957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KS · PSY 985
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8340 MISSION RD, Prairie Village, KS 66206

Other Identifiers 2

Other27632034Blue Cross/blue Shield Of Kansas City
Medicare PIN000A780

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary J. Yanics, Ph.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary J. Yanics, Ph.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1043313885
5930 W 87TH ST
Overland Park, KS 66207
(913) 484-8410
✔ PECOS✔ Accepts Medicare1.4 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 Mary J. Yanics, Ph.D., LLC's NPI number?

The NPI number for Mary J. Yanics, Ph.D., LLC is 1780959957. It was assigned to this organization in the NPPES registry on March 20, 2012.

Where is Mary J. Yanics, Ph.D., LLC located?

Mary J. Yanics, Ph.D., LLC is located at 8340 Mission Rd Suite 228, Prairie Village, KS 66206. The listed phone number is (913) 341-9444.

What is Mary J. Yanics, Ph.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary J. Yanics, Ph.D., LLC enrolled in Medicare?

Yes. Mary J. Yanics, Ph.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary J. Yanics, Ph.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mary J. Yanics, Ph.D., LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mary J. Yanics, Ph.D., LLC was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.