WILLIAM ALBERT MOFFITT (NPI# 1417052614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417052614 |
| Entity Type | Individual |
| Full Name | WILLIAM ALBERT MOFFITT |
| Credential | PHD |
| Practice Address |
3515 S 4th Street Professional Association Leavenworth KS 66048 |
| Mailing Address |
18955 West 116th Street Olathe KS 66061 |
| Practice Telephone | 9136518415 |
| Practice Fax Number | 9137728580 |
| Mailing Telephone | 9138882362 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | R0333 | MO | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 675 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KS | 066956 | 01 |
| AETNA | 4285605 | 01 | |
| KS | GROUP BCBS | 004517 | 01 |
| WI | PHYSICIAN SERVICES TRICAR | B011 | 01 |
| KS | BCBS OF KC KS | 19924039 | 01 |
| CIGNA | 2008188 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437119260 | William Ronald Moffitt | Family Medicine | 800 N Justice St, Hendersonville, NC 28791-3410 | 2006-03-24 |
| Street Address |
3515 S 4TH STREET PROFESSIONAL ASSOCIATION |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013076215 | Frederick J Tirrell Phd Professional Association | Psychologist | 3515 S 4th Street, Leavenworth, KS 66048 | 2006-12-06 |
| 1043381478 | Deborah Lynn Weidinger | Psychologist | 3515 S 4th Street, Professional Association, Leavenworth, KS 66048 | 2006-11-09 |
| 1770652281 | Steven Wright Nimrod | Counselor | 3515 S 4th Street, Professional Association, Leavenworth, KS 66048 | 2006-11-07 |
| 1053493189 | Susan Diane Nimrod | Counselor | 3515 S 4th Street, Professional Association, Leavenworth, KS 66048 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| 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 |
|---|---|---|---|---|
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1659640209 | Deborah L Weidinger Lmlp, Pa | Psychologist | 1301 S Broadway St, Leavenworth, KS 66048-3119 | 2011-12-27 |
| 1952530172 | Jessica Lynn Gustin | Psychologist | 4101 S. 4th St, Psychology Service (116b), Leavenworth, KS 66048 | 2009-07-09 |
| 1326265810 | Mary Banks Gregerson | Psychologist | 1116 S Esplanade St, Leavenworth, KS 66048-3522 | 2007-04-19 |
| 1801991195 | Gregory Timothy Ellermann | Psychologist | 3515 S 4th St, Professional Association, Leavenworth, KS 66048 | 2006-09-13 |
| 1699723346 | Mary E Oehlert | Psychologist | 4101 S 4th St Trafficway, Leavenworth, KS 66048-5055 | 2006-05-05 |
| 1821577818 | Tracy O'connell Franklin | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2018-08-09 |
| 1164909131 | David Friedlander | Psychologist | 500 Limit St, Leavenworth, KS 66048-4435 | 2018-07-23 |
| 1164965463 | Erin Elisabeth Mills | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2016-11-18 |
| 1265982839 | Suzanne Heflin | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2016-10-07 |
| Find all providers in LEAVENWORTH | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
Please comment or provide details below to improve the information on WILLIAM ALBERT MOFFITT.
| 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.