DR. COLLEEN FAGAN PH.D.
NPI 1972915379
Psychologist - Clinical in Gladstone, MO

Q: What is Colleen Fagan's NPI number?

The NPI number for Colleen Fagan is 1972915379. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Q: What is Colleen Fagan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Colleen Fagan was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since May 20, 2014PECOS Enrolled

2900 NE 60TH ST STE 205, GLADSTONE, MO 64119(816) 694-0200(888) 507-5906 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Mar 12, 2026, Oct 3, 2024 and 1 more (4 updates tracked since 2022).

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About Dr. Colleen Fagan Ph.d. NPPES

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

DR. COLLEEN FAGAN PH.D. (NPI 1972915379) is an individual clinical provider in Gladstone, Missouri, licensed in Missouri (2014016577) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972915379

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. COLLEEN FAGANCredential: PH.D.

Location Address2900 NE 60TH ST STE 205Gladstone, MO 64119-2091

Mailing Address2900 Ne 60th St Ste 205Gladstone, MO 64119-2091 · (816) 694-0200 · Fax (888) 507-5906

Phone(816) 694-0200

Fax(888) 507-5906

Sole ProprietorYes

Enumeration DateMay 20, 2014

Last NPPES UpdateMarch 20, 20264 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1972915379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MO · 2014016577✔ Licensed in TX · 36586

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.

2900 NE 60TH ST STE 205, Gladstone, MO 64119

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Other Identifiers 2

Other2014016577MO · License #

Medicaid490014954MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Dr. Colleen Fagan Ph.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.52 typical visit price

range $55.29 – $168.52

Typical copayment $42.13 (range $13.82 – $42.13)

Most-billed visit code 99205

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Colleen Fagan's NPI number?

The NPI number for Colleen Fagan is 1972915379. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Colleen Fagan located?

Colleen Fagan practices at 2900 NE 60th St Ste 205, Gladstone, MO 64119. The listed phone number is (816) 694-0200.

What is Colleen Fagan's specialty?

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

Is Colleen Fagan enrolled in Medicare?

Yes. Colleen Fagan is registered in the Medicare PECOS enrollment system.

What insurance does Colleen Fagan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Colleen Fagan 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 Colleen Fagan was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.