| Therapeutic Paradigm | |
|
7570 W 21st St N Ste 1006c Wichita KS 67205-1773 | |
| (316) 201-6445 | |
| (316) 201-6431 |
| Full Name | Therapeutic Paradigm |
|---|---|
| Speciality | Clinic/Center |
| Location | 7570 W 21st St N Ste 1006c, Wichita, Kansas |
| Authorized Official Name and Position | Rachel Anne Zamorano (OWNER) |
| Authorized Official Contact | 3162909023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Paradigm 3624 N Hazelwood St Wichita KS 67205-2425 Ph: (316) 290-9023 | Therapeutic Paradigm 7570 W 21st St N Ste 1006c Wichita KS 67205-1773 Ph: (316) 201-6445 |
| NPI Number | 1609485804 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Medicare PECOS PAC ID | 5698195915 |
|---|---|
| Medicare Enrollment ID | O20201026001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609485804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rachel A Zamorano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063550010 PECOS PAC ID: 1254487226 Enrollment ID: I20090916000018 |
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