DR. ALAN CHARLES DOMIAN (NPI# 1093864936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093864936 |
| Entity Type | Individual |
| Full Name | DR. ALAN CHARLES DOMIAN |
| Credential | PH.D. |
| Practice Address |
4200 Somerset Dr Suite 254 Prairie Village KS 66208-5217 |
| Practice Telephone | 9133811810 |
| Practice Fax Number | 9133811836 |
| Mailing Telephone | 9133811810 |
| Mailing Fax Number | 9133811836 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 752 | KS | Behavioral Health & Social Service Providers |
| Street Address |
4200 SOMERSET DR SUITE 254 |
| City | PRAIRIE VILLAGE |
| State | KS |
| Zip Code | 66208-5217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326069030 | Teresa Beth Rose | Psychologist | 4200 Somerset Dr, Suite 239, Prairie Village, KS 66208-5217 | 2006-07-21 |
| 1508260068 | Clifford Carter | Counselor | 4200 Somerset Dr, Suite 217, Prairie Village, KS 66208-5249 | 2014-10-13 |
| 1659546968 | Carolina Aponte Urdaneta | Psychiatry & Neurology | 4200 Somerset Dr, Suite 214, Prairie Village, KS 66208-5217 | 2008-04-28 |
| 1154535060 | Midwest Psychiatric Pa | Psychiatry & Neurology | 4200 Somerset Dr, Ste 214, Prairie Village, KS 66208-5217 | 2007-05-09 |
| 1841419280 | Miguel Angel Stamati | Psychiatry & Neurology | 4200 Somerset Dr, Suite 214, Prairie Village, KS 66208-5217 | 2007-04-24 |
| 1437214665 | S. Christine Hillila | Psychologist | 4200 Somerset Dr, Suite 246, Prairie Village, KS 66208-5217 | 2006-12-27 |
| 1679638217 | Bruce W Bean | Psychologist | 4200 Somerset Dr, Suite 254, Prairie Village, KS 66208-5217 | 2006-12-26 |
| 1992865307 | Michael Granoff | Social Worker | 4200 Somerset Dr, Ste 254, Prairie Village, KS 66208-5213 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627940 | Arena Health LLC | Clinic/Center | 8010 Stateline Road, Suite 100, Prairie Village, KS 66208 | 2020-07-27 |
| 1780222414 | Tracy Licausi | Counselor | 4907 W 69th Ter, Prairie Village, KS 66208 | 2019-12-12 |
| 1699294959 | Meredith Arends | Physician Assistant | 2904 W 73rd Street, Prairie Village, KS 66208 | 2017-09-18 |
| 1861914616 | Pardeep Kaur Gill | Dentist | 7501 Mission Rd Ste 102, Prairie Village, KS 66208 | 2017-07-13 |
| 1366821977 | Wineteer, Inc. | Durable Medical Equipment & Medical Supplies | 3500 W 75th St, Suite 100, Prairie Village, KS 66208 | 2015-05-28 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1063859650 | Joseph Charles Glenn | Chiropractor | 8016 State Line Rd, Suite 100, Leawood, KS 66208 | 2013-05-23 |
| 1104172337 | Julie Anne Budke | Psychologist | 3965 W 83rd Street Suite 233, Prairie Village, KS 66208 | 2012-07-25 |
| 1700149952 | Julia K Thomas | Specialist | 5111 W. 64th St, Prairie Village, KS 66208 | 2012-06-22 |
| 1255624227 | Carl S Cleveland Iv | Chiropractor | 8016 State Line Rd, Ste 100, Leawood, KS 66208 | 2011-05-24 |
| Find all providers in zip 66208 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295870996 | Margaret A. Fallon | Psychologist | Stateline Executive Office Park, 8010 Stateline Rd., Prairie Village, KS 66208 | 2007-02-20 |
| 1982758587 | Kathleen Joy Keenan | Psychologist | 4200 Somerset Dr Ste 254, Prairie Village, KS 66208-5213 | 2007-01-22 |
| 1447318860 | James Stanley Bargar | Psychologist | 4121 W 83 St, Suite 135, Prairie Village, KS 66208-5323 | 2006-12-05 |
| 1306854393 | Harriet H Barrish | Psychologist | 4200 Somerset Drive, Suite 246, Prairie Village, KS 66208 | 2006-08-04 |
| 1326069030 | Teresa Beth Rose | Psychologist | 4200 Somerset Dr, Suite 239, Prairie Village, KS 66208-5217 | 2006-07-21 |
| 1356707194 | Justin Lasater | Psychologist | 5200 W 94th Ter, #200, Prairie Village, KS 66207-2522 | 2016-01-09 |
| 1962780544 | Jennifer Austenfeld | Psychologist | 8340 Mission Rd, Suite 210, Prairie Village, KS 66206-1355 | 2011-07-29 |
| 1861517328 | Claire L Barron | Psychologist | 8010 State Line Rd, Ste 230, Prairie Village, KS 66208-3710 | 2007-03-20 |
| 1437214665 | S. Christine Hillila | Psychologist | 4200 Somerset Dr, Suite 246, Prairie Village, KS 66208-5217 | 2006-12-27 |
| 1679638217 | Bruce W Bean | Psychologist | 4200 Somerset Dr, Suite 254, Prairie Village, KS 66208-5217 | 2006-12-26 |
| Find all providers in PRAIRIE VILLAGE | ||||
| City | PRAIRIE VILLAGE |
| Zip Code | 66208 |
Please comment or provide details below to improve the information on DR. ALAN CHARLES DOMIAN.
| 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.