WICHITA STATE UNIVERSITY NPI 1003225947

NPI Details

WICHITA STATE UNIVERSITY is a community behavioral health in Wichita, KS. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WICHITA STATE UNIVERSITY NPI is 1003225947. The provider is registered as an organization entity type.

The provider's business location address is:

1845 FAIRMOUNT BOX 91
WICHITA, KS
ZIP 67260-091
Phone: (502) 821-7904

The provider's authorized official is Jason Douglas Beyer .
The authorized official title is Psychology Intern and has the following contact phone number (502) 821-7904.

The CLIA number assigned to this NPI record is 17D0671176 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: