Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Fayth Walbridge, PHD

Individual provider Clinical Psychologist · NPI 1003794314

Dr. Fayth Walbridge, PHD is a Clinical Psychologist in Kansas City, Missouri. Qualified in 2024, 2 years ago. Licensed in Missouri and Texas.

Years since qualifying
2
Licensed in
MO, TX
In the registry since
2025
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (308) 655-0842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 40707 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence 202504070 (MO)

Record details

NPI number1003794314
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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