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

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: July 19, 2026.

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

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
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

Other Identifiers 2

Other2014016577MO · License #
Medicaid490014954MO

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)

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

The NPI number assigned to this healthcare provider is 1972915379, enumerated as an "individual" on May 20, 2014.

The provider is located at 2900 NE 60TH ST STE 205 GLADSTONE, MO 64119 and the phone number is (816) 694-0200.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.