GLENN J VEENSTRA (NPI# 1285696922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285696922 |
| Entity Type | Individual |
| Full Name | GLENN J VEENSTRA |
| Credential | PHD |
| Practice Address |
7829 E Rockhill St Suite #105 Wichita KS 67206-3920 |
| Mailing Address |
1010 N Kansas Suite #3049 Wichita KS 67214-3199 |
| Practice Telephone | 3162933850 |
| Practice Fax Number | 3166836733 |
| Mailing Telephone | 3162932647 |
| Mailing Fax Number | 3162931882 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0507 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100237810A | 05 | |
| KS | BCBS | 04414 | 01 |
| Street Address |
7829 E ROCKHILL ST SUITE #105 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919859 | Diagnostic Ultrasound Services, Inc. | Clinic/Center | 7829 E Rockhill St, Wichita, KS 67206-3914 | 2005-08-18 |
| 1538637566 | Samuel Joseph Reals | Chiropractor | 7829 E Rockhill St, Wichita, KS 67206 | 2018-11-07 |
| 1568902476 | Jennifer Lynn Lemons | Counselor | 7829 E Rockhill St, Suite 305, Wichita, KS 67206-3920 | 2017-02-27 |
| 1467900894 | Kansas University School of Medicine - Wichita | Clinic/Center | 7829 E Rockhill St, Wichita, KS 67206-3920 | 2016-09-14 |
| 1619420718 | Phillip K Martin | Clinical Neuropsychologist | 7829 E Rockhill St, Attn: Credentialing, Wichita, KS 67206-3920 | 2016-07-26 |
| 1215397609 | Rachel Sparks | Chiropractor | 7829 E Rockhill St, 303, Wichita, KS 67206 | 2016-02-29 |
| 1417312075 | Ict Muscle & Joint Clinic, LLC | Chiropractor | 7829 E Rockhill St, 303, Wichita, KS 67206-3920 | 2015-12-28 |
| 1649659467 | Keith Sparks | Chiropractor | 7829 E Rockhill St, Ste 303, Wichita, KS 67206-3914 | 2015-05-26 |
| 1972980555 | Logan Reich | Marriage & Family Therapist | 7829 E Rockhill St, Suite 105, Wichita, KS 67206-3920 | 2015-05-02 |
| 1710300884 | Breanna Burns | Marriage & Family Therapist | 7829 E Rockhill St, Suite 305, Wichita, KS 67206-3920 | 2014-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1992230510 | Sunflower Psychological Services, LLC | Psychologist | 209 E William St Ste 535, Wichita, KS 67202-4015 | 2017-04-21 |
| 1114303336 | Grace Kallimel | Psychologist | Wichita State University Counseling & Ctr, 1845 Fairmount St., Wichita, KS 67260-0091 | 2015-08-11 |
| 1629455928 | Rebecca Lynn Jabara | Psychologist | 6122 Shadybrook St, Wichita, KS 67208-1862 | 2015-05-06 |
| 1790110583 | Angie Hardage-bundy | Psychologist | 10500 E Berkeley Square Pkwy, Suite 103, Wichita, KS 67206-6815 | 2013-09-11 |
| 1700135498 | Brynne M Mulloy | Psychologist | 2552 N Maize Ct Ste 600, Wichita, KS 67205-7346 | 2012-09-10 |
| 1144581489 | Kristin L. Goodheart | Psychologist | 940 N Tyler Rd Ste 209, Wichita, KS 67212 | 2012-06-04 |
| 1053691600 | Dempsey D White | Psychologist | Wichita State University Counseling And, 1845 Fairmount St, Wichita, KS 67260-0091 | 2011-08-26 |
| 1275794711 | Nicole Danielle Mclain | Psychologist | 8700 E 29th St North, Wichita, KS 67226 | 2008-06-18 |
| 1427238682 | Luke E Carter | Psychologist | 4601 E Douglas Ave Ste 207, Wichita, KS 67218-1032 | 2007-11-05 |
| Find all providers in WICHITA | ||||
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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.