LIZHAO WANG NEUROPSYCHOLOGICAL SERVICE (NPI# 1063798569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063798569 |
| Entity Type | Organization |
| Organization Name | LIZHAO WANG NEUROPSYCHOLOGICAL SERVICE |
| Practice Address |
1504 Sw 8th Ave Topeka KS 66606-1632 |
| Mailing Address |
5634 Sw Clarion Lakes Dr Topeka KS 66610-1627 |
| Practice Telephone | 7852328542 |
| Practice Fax Number | 7854781791 |
| Mailing Telephone | 7852281481 |
| Mailing Fax Number | 7854781791 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-29 |
| Authorized Official Name | LIZHAO WANG (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 7852328542 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
830 | KS | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 830 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1504 SW 8TH AVE |
| City | TOPEKA |
| State | KS |
| Zip Code | 66606-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982678827 | Kansas Rehabilitation Hospital Inc | Rehabilitation Hospital | 1504 Sw 8th Ave, Topeka, KS 66606 | 2006-02-15 |
| 1376177642 | Elizabeth Marquard | Physical Therapist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2020-02-26 |
| 1588213912 | Jessica Fulkerson | Physical Therapy Assistant | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2019-09-09 |
| 1053801621 | Caroline Abrahamson | Speech-Language Pathologist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2018-05-18 |
| 1376057067 | Gwen L Kellogg | Physical Therapist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2017-11-17 |
| 1538619168 | Natasha Abu-ali | Physical Therapist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2016-10-06 |
| 1194170696 | Andrew Replogle | Physical Therapist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2016-05-03 |
| 1376918128 | Carolynn Holmes | Occupational Therapist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2015-12-04 |
| 1447625512 | Julie Haverkamp | Physical Therapy Assistant | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2015-12-01 |
| 1003283185 | Michele Mckinney | Speech-Language Pathologist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2015-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843198 | Ashley Biggs | Nurse Practitioner | 823 Sw Mulvane, Ste 200, Topeka, KS 66606 | 2019-10-21 |
| 1952969925 | Danielle Marie Spencer | Physician Assistant | 823 Sw Mulvane, Ste 330, Topeka, KS 66606 | 2019-06-04 |
| 1174084545 | Samantha Brummell | Social Worker | 3707 Sw 6th, Topeka, KS 66606 | 2019-03-28 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1497122139 | Andrew Q Etheridge | Case Manager/Care Coordinator | 325 Sw Frazier, Family Service & Guidance Center, Topeka, KS 66606 | 2015-08-28 |
| 1962817254 | Kelsie Maxwell | Clinic/Center | 1315 Sw 6th Ave Suite B, Topeka, KS 66606 | 2014-06-25 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1730501859 | Ryan Kemp-pappan | Counselor | Valeo Behavioral Health Care, 330 Sw Oakley Ave, Topeka, KS 66606 | 2014-01-08 |
| 1750710935 | Dia L Orear | Nurse Practitioner | 1700 Sw 7th Street, 2nd Floor, Topeka, KS 66606 | 2013-11-07 |
| 1609174523 | Elizabeth Husted | Community Health Worker | 5301 Sw 7th St., Topeka, KS 66606 | 2011-03-01 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588004014 | Dr. George Athey, Ph.d., LLC | Clinical Neuropsychologist | 2201 Sw 29th St, Topeka, KS 66611-1975 | 2013-06-28 |
| 1225147085 | George Athey Jr. | Clinical Neuropsychologist | 2955 Sw Wanamaker Dr, Topeka, KS 66614-5318 | 2006-08-29 |
| 1861450090 | Brad Lee Anderson | Clinical Neuropsychologist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-05-04 |
| 1184699696 | Lizhao Wang | Clinical Neuropsychologist | 1504 Sw 8th Ave, Topeka, KS 66606-1632 | 2006-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368157 | Neuropsychology Services of Kansas | Clinical Neuropsychologist | 10111 E 21st St N Ste 401, Wichita, KS 67206-3581 | 2020-02-19 |
| 1982081162 | Adam C Parks | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy Ste 2180, Fairway, KS 66205-2522 | 2015-04-27 |
| 1275897597 | Meredith Lubow | Clinical Neuropsychologist | 14105 Stearns St, Overland Park, KS 66221-8089 | 2012-07-02 |
| 1588954200 | Jared Bruce | Clinical Neuropsychologist | 10555 Marty St Ste 100, Overland Park, KS 66212-2555 | 2011-04-14 |
| 1134328420 | David R. Mouille | Clinical Neuropsychologist | 4786 Black Swan Dr, Shawnee, KS 66216-1235 | 2007-07-16 |
| 1134274822 | Sally Ann Frutiger | Clinical Neuropsychologist | Center for Neuropsychology, University of Kansas Hospital, Kansas City, KS 66160-0001 | 2007-01-24 |
| 1477648111 | Eric Phillip Ecklund-johnson | Clinical Neuropsychologist | University of Kansas Hospital, 3901 Rainbow Blvd., Mail Stop 1059, Kansas City, KS 66160-0001 | 2006-10-04 |
| 1427061209 | Melinda Anne Shaver | Clinical Neuropsychologist | 201 N Penn Ave, Suite 507, Independence, KS 67301-3357 | 2006-08-14 |
| 1427053784 | Marc A Quillen | Clinical Neuropsychologist | 4217 Briarwood Dr, Lawrence, KS 66049-1998 | 2005-06-14 |
| 1770197790 | Amanda Brunette | Clinical Neuropsychologist | 4330 Shawnee Mission Pkwy Ste 2180, Fairway, KS 66205-2522 | 2020-09-08 |
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| 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.