PSYCHDOC LLC (NPI# 1023623063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023623063 |
| Entity Type | Organization |
| Organization Name | PSYCHDOC LLC |
| Practice Address |
5600 W 95th St Ste 216 Overland Park KS 66207-2968 |
| Mailing Address |
17864 W 160th St Olathe KS 66062-3221 |
| Practice Telephone | 9136017317 |
| Mailing Telephone | 8587222018 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | TRISTEN WINSTON (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 8587222018 |
| Authorized Official Credential | PSYD, LP, LCAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
5600 W 95TH ST STE 216 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66207-2968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234245 | Leah T Betzen | Marriage & Family Therapist | 5600 W 95th St Ste 216, Overland Park, KS 66207-2968 | 2019-09-17 |
| 1427698729 | Shane Petersen | Marriage & Family Therapist | 5600 W 95th St Ste 216, Overland Park, KS 66207-2968 | 2020-01-14 |
| 1720622004 | Communication and Connection Therapy | Marriage & Family Therapist | 5600 W 95th St Ste 216, Overland Park, KS 66207-2968 | 2019-10-30 |
| 1326681081 | Morgan Ticum | Marriage & Family Therapist | 5600 W 95th St Ste 216, Overland Park, KS 66207-2968 | 2019-10-24 |
| 1245873157 | Elexx Feyh | Marriage & Family Therapist | 5600 W 95th St Ste 216, Overland Park, KS 66207-2968 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699301077 | Koeneman Psychological Services, LLC | Community/Behavioral Health | 5750 W. 95th St. Suite 220, Overland Park, KS 66207 | 2020-03-18 |
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1134509243 | Milburn Wheatley Hobson | Obstetrics & Gynecology | Residence 5467 W. 85 Ter., Prairie Village, KS 66207 | 2015-06-03 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1831301340 | Andrew Van Blarcom, Dds, Pa | Dentist | 5000 West 95th Street, Suite Number 290, Prairie Village, KS 66207 | 2007-05-04 |
| 1336270115 | Edward D. Dallam | Dentist | 5000 W 95th St Ste 300, Prairie Village, KS 66207 | 2007-03-07 |
| 1245379809 | Willa J Kozlowski | Counselor | 5350 W. 94th Terrrace, Suite 204, Prairie Village, KS 66207 | 2007-02-06 |
| 1407994726 | Pauls Optical Company Inc | Technician/Technologist | 5352 W 95th St, Prairie Village, KS 66207 | 2007-02-01 |
| 1154484301 | The Endodontic P.C. | Dentist | 5600 West 95th St #216, Overland Park, KS 66207 | 2006-12-19 |
| Find all providers in zip 66207 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
| 1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
| 1952821142 | Forensic Psychology Associates, Inc. | Psychologist | 8826 Santa Fe Dr Ste 170, Overland Park, KS 66212-3673 | 2017-06-20 |
| 1265970909 | Julie Franchett | Psychologist | 9105 W 95th Ter, Overland Park, KS 66212-4007 | 2017-02-02 |
| 1710422381 | Charlotte M Rosenak Phd LLC | Psychologist | 8575 W 110th St Ste 218, Overland Park, KS 66210-2620 | 2017-01-05 |
| 1366992505 | Susan Bearce | Psychologist | 15721 Outlook St, Overland Park, KS 66223-3451 | 2016-10-12 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1093123390 | Jordan Psychological Assessment Center LLC | Psychologist | 6720 W 121st St, Suite 101, Overland Park, KS 66209-2002 | 2014-07-30 |
| 1861674962 | Karen M Jordan | Psychologist | 6720 W. 121st St., Suite 101, Overland Park, KS 66209 | 2007-11-30 |
| 1528183159 | Bernard J Sullivan Phd LLC | Psychologist | 10540 Marty St Ste 155, Overland Park, KS 66212-2654 | 2007-03-20 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66207 |
Please comment or provide details below to improve the information on PSYCHDOC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.