DR. TAMARA CODER MIKINSKI PHD
NPI 1801930177
Psychologist in Overland Park, KS

Active since February 19, 2007Opted out of Medicare · through Mar 1, 2028
10965 GRANADA LANE, SUITE 101, OVERLAND PARK, KS 66211(913) 777-6665(913) 345-0090 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2020, Jan 17, 2020 (2 updates tracked since 2020).

About Dr. Tamara Coder Mikinski Phd NPPES

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

DR. TAMARA CODER MIKINSKI PHD (NPI 1801930177) is an individual psychologist in Overland Park, Kansas, licensed in Kansas (884) and active in the NPI registry since February 2007. She has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801930177
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TAMARA CODER MIKINSKICredential: PHD
Location Address10965 GRANADA LANE, SUITE 101Overland Park, KS 66211-1412
Mailing AddressP.o. Box 272Desoto, KS 66018 · (816) 223-1407 · Fax (913) 345-0090
Fax(913) 345-0090
Sole ProprietorYes
Enumeration DateFebruary 19, 2007
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1801930177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in KS · 884 Licensed in MI · 6301015897 Licensed in MO · 01693
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 884 (KS)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 884 (KS)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 884 (KS)
10965 GRANADA LANE, Overland Park, KS 66211

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. Tamara Coder Mikinski Phd 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 March 1, 2010 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2010
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
10965 GRANADA LANE, STE. 102
OVERLAND PARK, KS 66211
Psychologist (Counseling)
10965 GRANADA LANE, SUITE 101
OVERLAND PARK, KS 66211
Family Medicine
10965 GRANADA LANE, SUITE 101
OVERLAND PARK, KS 66211

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 Tamara Mikinski's NPI number?

The NPI number for Tamara Mikinski is 1801930177. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Tamara Mikinski located?

Tamara Mikinski practices at 10965 Granada Lane Suite 101, Overland Park, KS 66211. The listed phone number is (913) 777-6665.

What is Tamara Mikinski's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Tamara Mikinski enrolled in Medicare?

No. Tamara Mikinski has opted out of Medicare through March 1, 2028. 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 Tamara Mikinski was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.