DR. RAE SEDGWICK (NPI# 1306824818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306824818 |
Entity Type | Individual |
Full Name | DR. RAE SEDGWICK |
Credential | PH.D. |
Practice Address |
311 Allcutt Ave # 377 Bonner Springs KS 66012-1501 |
Mailing Address |
Po Box 377 311 Allcutt Ave Bonner Springs KS 66012-0377 |
Practice Telephone | 9134413800 |
Practice Fax Number | 9134413450 |
Mailing Telephone | 9134413800 |
Mailing Fax Number | 9134413450 |
Enumeration Date | 2006-01-04 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
352 | KS | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BLUE CROSS BLUE SHIELD ID | 06086011 | 01 |
Street Address |
311 ALLCUTT AVE # 377 |
City | BONNER SPRINGS |
State | KS |
Zip Code | 66012-1501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265834485 | Tamara Sipe | Nurse Anesthetist, Certified Registered | 16321 Stillwell Rd, Bonner Springs, KS 66012 | 2014-09-18 |
1558564575 | Sunflower Healthcare, Inc | Hospice Care, Community Based | 15417 Pinehurst Dr., Basehor, KS 66012 | 2007-06-07 |
1427137702 | Jacqueline Liana Puno | Physical Therapist | 13035 Kansas Ave, Bonner Springs, KS 66012 | 2006-11-06 |
1679616973 | Geraldine Lee Heckart | Social Worker | 134 N 130th St, #c Sunny Days Clinical Services, Bonner Springs, KS 66012 | 2007-02-15 |
1942341565 | City of Bonner Springs | Ambulance | 205 E 2nd St, Bonner Springs, KS 66012-1001 | 2007-02-08 |
1649319864 | Gregory Karl Gomer | Chiropractor | 216 E 2nd St, Bonner Springs, KS 66012-1002 | 2007-02-05 |
1154656148 | Blum Family Dentistry, L.L.C. | Dentist | 216 E 2nd St, Bonner Springs, KS 66012-1002 | 2009-10-08 |
1326325739 | Nitschke Eye Care, P.a. | Optometrist | 116 Cedar St, Bonner Springs, KS 66012-1016 | 2011-11-14 |
1457446437 | Degolers Inc | Pharmacy | 202 Oak St, Bonner Springs, KS 66012-1029 | 2006-10-04 |
1912043480 | Living Concepts, Inc. | Home Health | 402 E 2nd St, Bonner Springs, KS 66012-1039 | 2007-01-30 |
Find all providers in zip 66012 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538785852 | Freudhawk Psychological Enterprises, LLC | Psychologist | 1307 E Iron Ave, Salina, KS 67401-3231 | 2020-06-23 |
1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
1174097042 | Heidi Marie Pontinen | Psychologist | 1901 E First St., Newton, KS 67114-0467 | 2019-01-14 |
1295232015 | Connection Therapy, LLC | Psychologist | 309 Happy Hollow St, Vermillion, KS 66544-8633 | 2018-04-09 |
1902304116 | Psychological Health Services, LLC | Psychologist | 626 Nebraska Ave, Holton, KS 66436-1462 | 2018-01-23 |
1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
1861913659 | Janelle Jeffrey | Psychologist | 1013 W 8th St Ste A, Junction City, KS 66441-2281 | 2017-06-30 |
Find all providers with the same taxonomy |
City | BONNER SPRINGS |
Zip Code | 66012 |
Please comment or provide details below to improve the information on DR. RAE SEDGWICK.
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.