SHELBY HENDRICKSON (NPI# 1194260786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194260786 |
| Entity Type | Individual |
| Full Name | SHELBY HENDRICKSON |
| Credential | T-LMLP |
| Practice Address |
350 S Broadway Ave Wichita KS 67202-4304 |
| Mailing Address |
934 N Water St Wichita KS 67203-3838 |
| Practice Telephone | 3166609600 |
| Practice Fax Number | 3166609660 |
| Mailing Telephone | 3166607600 |
| Mailing Fax Number | 3169415075 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2810 | KS | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 2736 | KS | Behavioral Health & Social Service Providers |
| Street Address |
350 S BROADWAY AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67202-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780631663 | Nancy Ballinger | Registered Nurse | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2006-05-27 |
| 1174120257 | Paige Gumpenberger | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-10-02 |
| 1780290692 | Kristi Ann Evans | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-09-17 |
| 1568074722 | Raven Guliford | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-08-19 |
| 1114538287 | Tessa Osborn | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-08-12 |
| 1457962656 | Kellie Michaud | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-08-11 |
| 1255940490 | Carla Eash | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-07-23 |
| 1124637376 | Taylor Alexander | Counselor | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-07-23 |
| 1497373708 | Anneke Blignaut | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-07-13 |
| 1649898677 | Corine E Falletti | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845338 | Raneisha Hunter | Marriage & Family Therapist | 622 E. Douglasave, Wichita, KS 67202 | 2020-09-15 |
| 1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
| 1043712912 | Creative Bliss Therapy | Counselor | 115 Waterman Street, Wichita, KS 67202 | 2018-03-06 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1912423823 | Jenni Harshbarger, Phd, P.a. | Clinic/Center | 801 E. Douglas, Regus Suites, 2nd Floor, Wichita, KS 67202 | 2017-08-22 |
| 1336695287 | The Young Men's Christian Association of Wichita, Kansas | Health Educator | 402 N Market St, Wichita, KS 67202 | 2016-08-31 |
| 1699103739 | Nadine Reimer Penner | Social Worker | 313 S Market Street, Wichita, KS 67202 | 2013-10-29 |
| 1386992691 | Andrea Lynn Kasper-doggett | Social Worker | 100 S Market St Ste 2a, Wichita, KS 67202 | 2012-08-16 |
| 1679883318 | Carol Ann Knott | Registered Nurse | 909 N. Emporia, Wichita, KS 67202 | 2010-10-15 |
| 1851539431 | Peter Anthony Conrardy | Anesthesiology | 224 E. Douglas Ave., Suite 400 C/o Anesthesia Consulting Services, Wichita, KS 67202 | 2009-02-04 |
| Find all providers in zip 67202 | ||||
| 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 |
|---|---|---|---|---|
| 1689208860 | Jason Erickson Lcp LLC | Psychologist | 250 N Rock Rd Ste 370, Wichita, KS 67206-2243 | 2020-02-27 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1376999409 | Marcia Kennedy | Psychologist | 654 N Woodchuck St Ste F, Wichita, KS 67212-3571 | 2016-05-07 |
| 1073887345 | Andover Psychological Services Pa | Psychologist | 350 S Fountain St, Wichita, KS 67218-1326 | 2012-03-02 |
| 1912297334 | Brian J Stone | Psychologist | 1138 N Wood Ave, Wichita, KS 67212-4055 | 2011-04-19 |
| 1942506035 | Elizabeth Belt | Psychologist | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2011-02-07 |
| 1831397074 | Karen Liebenau | Psychologist | 1219 N Rutland St, Wichita, KS 67206-3837 | 2007-07-10 |
| 1275684433 | Shawn Patrick Padgett | Psychologist | 801 E Douglas Ave # 2, Wichita, KS 67202-3548 | 2007-01-15 |
| 1386729143 | Heartspring Inc | Psychologist | 8700 East 29th Street North, Wichita, KS 67226-2169 | 2006-10-27 |
| 1457448201 | Wayne C Piersel | Psychologist | 8700 E 29th Street North, Wichita, KS 67226-2169 | 2006-10-05 |
| Find all providers in WICHITA | ||||
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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.