MR. BRENT LEON HALDERMAN (NPI# 1003822982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003822982 |
| Entity Type | Individual |
| Full Name | MR. BRENT LEON HALDERMAN |
| Credential | PHD |
| Practice Address |
513 N Murlen Olathe KS 66062 |
| Practice Telephone | 9132625024 |
| Mailing Telephone | 9132625024 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP0803 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100241380A | 05 | |
| KS | BCBS OF KANSAS | 701013 | 01 |
| MO | BCBS OF KC | 19387049 | 01 |
| KS | RAILROAD MEDICARE | 680005403 | 01 |
| Street Address |
513 N MURLEN |
| City | OLATHE |
| State | KS |
| Zip Code | 66062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457791584 | Jennifer Sweeton | Psychologist | 513 N Mur Len Rd, Olathe, KS 66062-1318 | 2013-07-03 |
| 1326217621 | Lanise Babb | Psychologist | 13351 S Arapaho Dr, Olathe, KS 66062-1520 | 2008-02-21 |
| 1922291525 | Psychology & Counseling Center | Psychologist | 511 N Mur Len Rd Ste A, Olathe, KS 66062-1208 | 2007-08-27 |
| 1871517383 | Todd E Smith | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2006-07-27 |
| 1881238392 | Christina Lynne Menager | Psychologist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2019-10-29 |
| 1770936619 | Tristen Winston | Psychologist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2016-07-15 |
| 1437583168 | Danielle M Johnson | Psychologist | 620 S Rogers Rd, Olathe, KS 66062-1704 | 2013-08-29 |
| 1821420001 | Samantha Hoard | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2013-07-30 |
| 1780968206 | Lauren E Albin | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2011-10-03 |
| 1750660973 | Robert Keith Bragonier | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2011-08-04 |
| Find all providers in OLATHE | ||||
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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.