DR BEHAVIORAL MEDICINE SERVICES (NPI# 1629563853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629563853 |
| Entity Type | Organization |
| Organization Name | DR BEHAVIORAL MEDICINE SERVICES |
| Other Organization Name | DEREK L ROBERTS |
| Practice Address |
8100 E 22nd St N Ste 1600-b Wichita KS 67226-2321 |
| Practice Telephone | 3162016424 |
| Practice Fax Number | 3162016428 |
| Mailing Telephone | 3162016424 |
| Mailing Fax Number | 3162016428 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Authorized Official Name | DEREK ROBERTS (OWNER) |
| Authorized Official Telephone | 3162016424 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Derek L Roberts | Former Legal Business Name - Organization |
| Street Address |
8100 E 22ND ST N STE 1600-B |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942506035 | Elizabeth Belt | Psychologist | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2011-02-07 |
| 1396367728 | Jelaysia Richardson | Behavior Technician | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2020-05-07 |
| 1598386211 | Aurora Sumler | Behavior Technician | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2020-05-04 |
| 1487274544 | Sheniece Jameson | Behavior Technician | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2020-04-19 |
| 1174161517 | Megan Rose Quinn | Behavior Technician | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2019-12-17 |
| 1578126272 | Brittany Allen | Behavior Technician | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2019-04-17 |
| 1912474164 | Tamara Barber | Behavior Technician | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2018-10-25 |
| 1083194757 | Ashley Marie Garcia | Behavior Technician | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2018-08-21 |
| 1043735509 | Derek L Roberts | Nurse Practitioner | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2017-08-07 |
| 1588111017 | Vanessa Hamilton | Behavior Technician | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619441680 | Jkc Psych LLC | Clinic/Center | 8100 E 22nd St N Ste 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1932228533 | Dccca, Inc | Clinic/Center | 1319 W May St, Suite 1319b, Wichita, KS 67213-3505 | 2007-03-28 |
| 1609485804 | Therapeutic Paradigm | Clinic/Center | 7570 W 21st St N Ste 1006c, Wichita, KS 67205-1773 | 2020-07-24 |
| 1659997682 | Nuevo Amanecer LLC | Clinic/Center | 2312 S Meridian Ave Ste 102, Wichita, KS 67213-1912 | 2020-06-25 |
| 1447872718 | Kristi Mcneal LLC | Clinic/Center | 3310 E Douglas Ave, Wichita, KS 67208-3314 | 2020-05-10 |
| 1376163691 | Brent Crane Md LLC | Clinic/Center | 1148 S Hillside St, Wichita, KS 67211-4006 | 2020-04-17 |
| 1134758683 | Midwest Psychiatric Services, LLC | Clinic/Center | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2020-04-06 |
| 1639714769 | Progressive Growth Counseling & Coaching, LLC | Clinic/Center | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-11-13 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on DR BEHAVIORAL MEDICINE SERVICES.
| 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.