INTEGRATED BEHAVIORAL TECHNOLOGIES INC (NPI# 1770621674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770621674 |
| Entity Type | Organization |
| Organization Name | INTEGRATED BEHAVIORAL TECHNOLOGIES INC |
| Practice Address |
1106 N 155th St Ste B Basehor KS 66007-7100 |
| Practice Telephone | 9136627071 |
| Practice Fax Number | 9136627072 |
| Mailing Telephone | 9136627071 |
| Mailing Fax Number | 9136627072 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | LINDA HEITZMAN POWELL (OWNER PRESIDENT) |
| Authorized Official Telephone | 9134717061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP1216 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KC | 37446016 | 01 |
| KS | BCBS OF KANSAS | 00118206 | 01 |
| KS | 100643520 | 05 |
| Street Address |
1106 N 155TH ST STE B |
| City | BASEHOR |
| State | KS |
| Zip Code | 66007-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922367 | Alynn Bratkiv | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-11-04 |
| 1174122329 | Cacy Larson | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-10-20 |
| 1255930418 | Danielle Pruitt | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-10-20 |
| 1669089694 | Cristina Pfeiffer | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-09-24 |
| 1639785959 | Travis Scheerer | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-09-22 |
| 1952917270 | Tiffni Chapman | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-09-22 |
| 1558971507 | Alysia Gonzales | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-08-05 |
| 1033729124 | Graycee Meyer | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-08-04 |
| 1467062810 | Christie Napier | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-07-31 |
| 1346859618 | Hollie Greg | Behavioral Analyst | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2020-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821527243 | Catherine Eatherly | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-06-08 |
| 1346651312 | Anndrina Pooja Mcgill | Case Manager/Care Coordinator | 1106 N. 155th Street, Suite B, Basehor, KS 66007 | 2014-05-13 |
| 1679911317 | Amanda Brown | Case Manager/Care Coordinator | 1006 North 155th Street, Basehor, KS 66007 | 2013-06-04 |
| 1821221151 | Ross Eugene Mccoy | Social Worker | 21825 155th Street, Basehor, KS 66007 | 2009-09-03 |
| 1992898308 | Deborah J Gammill | Family Medicine | 15604 Pinehurst Drive, Suite 2, Basehor, KS 66007 | 2006-09-30 |
| 1316453699 | Kori Staab | Behavior Technician | 1106 N 155th St, Basehor, KS 66007 | 2017-12-21 |
| 1740708312 | Erin Newkirk | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-09-05 |
| 1801313994 | Ryan Emmitt | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-08-29 |
| 1881117596 | Keeley Cowley | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-07-25 |
| 1306375712 | Nicole Thompson | Case Manager/Care Coordinator | 1106 North 155th Street Ste B, Basehor, KS 66007 | 2017-06-08 |
| Find all providers in zip 66007 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841420353 | Tim R. Hodges | Psychologist | 519 Grove Street, Baldwin City, KS 66006-0065 | 2009-07-17 |
| 1669662698 | Amy Margaret Jacobsen | Psychologist | 8400 W. 110th Street, Suite 610, Overland Park, KS 66210 | 2007-07-26 |
| 1558570705 | Lisa R Hale | Psychologist | 10555 Marty St, Ste 100, Overland Park, KS 66212-2555 | 2007-05-22 |
| 1548384555 | Nancy Jeanne Champlin | Psychologist | 11302 Strang Line Rd, Lenexa, KS 66215-4041 | 2007-03-16 |
| 1699899674 | Omar Gabriel Gudino | Psychologist | 832 Pennsylvania St Ste 17, Lawrence, KS 66044-2754 | 2007-03-16 |
| 1598898231 | Karen J Wakefield | Psychologist | 2649 Sw Arrowhead Rd, Topeka, KS 66614-2458 | 2007-03-13 |
| 1639285398 | Jennifer Lynn Blickenstaff | Psychologist | 310 W Central Ave, Suite H, Andover, KS 67002-9687 | 2006-08-22 |
| 1700821279 | Priscilla None Wallingford | Psychologist | 13140 El Monte St, Leawood, KS 66209-4159 | 2006-06-18 |
| 1245278134 | Firststarr Rehabilitation & Behavioral Health, LLC | Psychologist | 4402 E Central Ave, Wichita, KS 67208-3912 | 2006-06-03 |
| 1023072436 | John Leenay | Psychologist | 727 N Waco Ave Ste 210, Wichita, KS 67203-3953 | 2006-04-13 |
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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.