| Neuropsychology Services Of Kansas | |
|
10111 E 21st St N Ste 401 Wichita KS 67206-3581 | |
| (316) 841-9202 | |
| Not Available |
| Full Name | Neuropsychology Services Of Kansas |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 10111 E 21st St N Ste 401, Wichita, Kansas |
| Authorized Official Name and Position | Robin Joy Heinrichs (OWNER) |
| Authorized Official Contact | 3168419202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology Services Of Kansas 4130 N Lake Ridge Ct Wichita KS 67205-5258 Ph: (316) 841-9202 | Neuropsychology Services Of Kansas 10111 E 21st St N Ste 401 Wichita KS 67206-3581 Ph: (316) 841-9202 |
| NPI Number | 1295368157 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 7315377025 |
|---|---|
| Medicare Enrollment ID | O20200421001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295368157 | NPI | - | NPPES |
| 1881843902 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Robin J Heinrichs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881843902 PECOS PAC ID: 3779635669 Enrollment ID: I20090724000035 |
| Provider Name | Anthony M Shaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043878036 PECOS PAC ID: 8224364971 Enrollment ID: I20230126000995 |
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