IndividualActive
Jason Fairman, PSY.D.
NPI 1417033895 · Psychologist · Lees Summit, MO
Provider details
- NPI number
- 1417033895
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2004033756 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2900 Sw 13th St
Lees Summit, MO 64081-3800
Phone: (816) 516-7114
Fax: (816) 437-7399
Street-level locationGet directions
Mailing address
2900 Sw 13th St
Lees Summit, MO 64081-3800
Registry dates
- Enumerated
- 2006-10-28
- Last updated
- 2009-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.