| Geropsych, A Division Of Key Rehabilitation, Inc | |
|
223 Bedford St Gardner KS 66030-1185 | |
| (913) 856-6520 | |
| (615) 896-5177 |
| Full Name | Geropsych, A Division Of Key Rehabilitation, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 223 Bedford St, Gardner, Kansas |
| Authorized Official Name and Position | Janet S Irwin (CEO/PRESIDENT) |
| Authorized Official Contact | 6158966400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geropsych, A Division Of Key Rehabilitation, Inc 1335 Nw Broad St Murfreesboro TN 37129-4428 Ph: (615) 896-6400 | Geropsych, A Division Of Key Rehabilitation, Inc 223 Bedford St Gardner KS 66030-1185 Ph: (913) 856-6520 |
| NPI Number | 1205106457 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 9638086432 |
|---|---|
| Medicare Enrollment ID | O20040123000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205106457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michael W Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144322314 PECOS PAC ID: 5597755330 Enrollment ID: I20040514000184 |
| Provider Name | Christina M Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346995362 PECOS PAC ID: 0648227546 Enrollment ID: I20050404000148 |
| Provider Name | Sabrina Wallace |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437323300 PECOS PAC ID: 1254401896 Enrollment ID: I20080609000292 |
| Provider Name | Randee L Olive |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023271814 PECOS PAC ID: 2961536503 Enrollment ID: I20100817001629 |
| Provider Name | Linda D Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811096472 PECOS PAC ID: 8123038676 Enrollment ID: I20140602002005 |
| Provider Name | Danielle M Neenan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952828816 PECOS PAC ID: 3678837424 Enrollment ID: I20180503001250 |
| Provider Name | John Thomas Lesniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407839459 PECOS PAC ID: 4880940279 Enrollment ID: I20180627000315 |
| Provider Name | Margaret A Fallon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295870996 PECOS PAC ID: 4082875117 Enrollment ID: I20181106001254 |
| Provider Name | Catherine Hasterlo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639821135 PECOS PAC ID: 7618362674 Enrollment ID: I20220310000715 |
| Provider Name | Jessica Anne Foster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558631820 PECOS PAC ID: 2961897939 Enrollment ID: I20220310000831 |
| Provider Name | Heather Phelps |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518169176 PECOS PAC ID: 5890181846 Enrollment ID: I20220331001242 |
| Provider Name | Addy Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326788068 PECOS PAC ID: 3375939168 Enrollment ID: I20220404001322 |
| Provider Name | Carl Tyler Noll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881277093 PECOS PAC ID: 9739575366 Enrollment ID: I20220408000215 |
| Provider Name | Victoria Avc Koch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548454473 PECOS PAC ID: 1456747088 Enrollment ID: I20220408000256 |
| Provider Name | Jessica Witt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417402587 PECOS PAC ID: 1052707270 Enrollment ID: I20220414002112 |
| Provider Name | Racheal Ann Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598047136 PECOS PAC ID: 3274988688 Enrollment ID: I20231004002591 |
| Provider Name | Jordan Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629751094 PECOS PAC ID: 6709232895 Enrollment ID: I20231025003464 |
| Provider Name | Jill S Macon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306493325 PECOS PAC ID: 6800237736 Enrollment ID: I20240509002585 |
Soothing Hearts Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Sycamore St, Gardner, KS 66030 Phone: 913-938-6369 Fax: 913-938-5261 |