Kyle Bandermann, PHD, MSCP (RXP)
NPI 1285913418 · Prescribing (Medical) Psychologist · Juffair
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Bandermann, PHD, MSCP (RXP) is a Prescribing (Medical) Psychologist provider in Juffair (NPI 1285913418).
Provider details
- NPI number
- 1285913418
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, MSCP (RXP)
- Sex
- Male
- Sole proprietor
- No
- License
- 4613 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 7714 Conner RdSuite 105Powell, TN 37849-3559Phone: (865) 947-6220Fax: (865) 512-1069
- 6350 W a J HwyDepartment 100Talbott, TN 37877-8605Phone: (800) 355-3565Fax: (423) 714-2355
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2022-06-03
- Certified
- 2022-05-25
Frequently asked questions
- What is Kyle Bandermann's NPI number?
- Kyle Bandermann's National Provider Identifier (NPI) is 1285913418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Bandermann's specialty?
- Kyle Bandermann is listed in the NPPES registry with a primary specialty of Prescribing (Medical) Psychologist (Behavioral Health & Social Service Providers).
- Where is Kyle Bandermann located?
- Kyle Bandermann's practice location on file with NPPES is Nsa Bahrain, Juffair, 00000.
- What is Kyle Bandermann's phone number?
- The practice phone number listed in the NPPES registry for Kyle Bandermann is (318) 439-4169.
- Does Kyle Bandermann accept Medicare?
- Kyle Bandermann is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Bandermann's NPI active?
- Yes — Kyle Bandermann's NPI (1285913418) is active in the NPPES registry as of the last update on 2022-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.