DR. CHALISA DANYELLE GADT-JOHNSON


Address: 4101 S 4th St, Leavenworth, KS 66048-5014
Phone: 9136822000

DR. CHALISA DANYELLE GADT-JOHNSON (NPI# 1467499368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467499368
Entity Type Individual
Full Name DR. CHALISA DANYELLE GADT-JOHNSON
Credential PH.D.
Practice Address 4101 S 4th St
Leavenworth
KS 66048-5014
Practice Telephone 9136822000
Practice Fax Number 9137584277
Mailing Telephone 9136822000
Mailing Fax Number 9137584277
Enumeration Date 2006-05-31
Last Update Date 2019-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
1259 KS Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 200259610B 05

Office Location

Street Address 4101 S 4TH ST
City LEAVENWORTH
State KS
Zip Code 66048-5014

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437151701 Scott A Smith Physical Therapist 4101 S 4th St, Leavenworth, KS 66048-5014 2005-06-01
1568084895 Robert Bugh Registered Nurse 4101 S 4th St, Leavenworth, KS 66048-5014 2020-05-08
1073134045 Shay Thomas Ioerger Radiologic Technologist 4101 S 4th St, Leavenworth, KS 66048-5014 2020-04-30
1548808389 Deborah Ann Curtis Registered Nurse 4101 S 4th St, Leavenworth, KS 66048-5014 2019-12-11
1821644451 Jennifer Anne Shah Psychologist 4101 S 4th St, Leavenworth, KS 66048-5014 2019-08-09
1558914580 Michelle Hogg Social Worker 4101 S 4th St, Leavenworth, KS 66048-5014 2019-07-18
1235782533 Elizabeth Weinmann Counselor 4101 S 4th St, Leavenworth, KS 66048-5014 2019-07-17
1144872631 Lindsey Rachelle Schmidling Social Worker 4101 S 4th St, Leavenworth, KS 66048-5014 2019-07-15
1063071967 Leo-anthony Nnamdi Ojini Nurse Practitioner 4101 S 4th St, Leavenworth, KS 66048-5014 2019-06-13
1386201283 Ashley Suzanne Towell Licensed Practical Nurse 4101 S 4th St, Leavenworth, KS 66048-5014 2019-05-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841816253 Katherine C Jorgenson Psychologist 722 S Broadway St, Leavenworth, KS 66048-2530 2020-06-22
1932190709 Rebecca Lynn Moberly Psychologist 4101 South 4th Street Trafficway, Women's Health Center, Leavenworth, KS 66048-5104 2005-11-02
1588029011 Allena Theis Psychologist 500 Limit St, Leavenworth, KS 66048-4435 2015-12-29
1356520670 Alicia Marie Wendler Psychologist 4101 S 4th St Trafficway, L-116-atp, Leavenworth, KS 66048-5014 2007-11-02
1528109220 Brandy Grace Ellis Psychologist 4101 S. 4th Street Trafficway, Leavenworth, KS 66048 2007-02-08
1508890880 Lyman Thair Rate Psychologist 4101 South 4th Street Trafficway, Leavenworth, KS 66048 2006-07-10
1427003276 Paul Chadwick Neal Psychologist 4101 S 4th St, Leavenworth, KS 66048-5014 2006-05-23
1023061835 Paula L. Timmons Psychologist 4101 S 4th St, Leavenworth, KS 66048-5014 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881258507 Chassidy Lee Bryan Psychologist 2518 Ridge Ct Ste 103, Lawrence, KS 66046-4089 2019-04-29
1255823001 Tara Jarrett Psychologist 2200 Sw Gage Blvd., Topeka, KS 66622 2018-06-06
1164928925 Sarah M Rogers Psychologist 6606 W Central Ave, Wichita, KS 67212-3315 2018-04-02
1063803971 Sarah A. Christensen, Phd, LLC Psychologist 4601 College Blvd Ste 275, Leawood, KS 66211-1678 2015-02-13
1700204930 Robert Pedroza Psychologist 5100 Quivira Rd, Shawnee, KS 66216-1349 2014-04-04
1356685283 Darwin L Eads Psychologist 1508 N Ridgehurst St, Wichita, KS 67230-7259 2012-11-15
1003192881 Ashley Heintzelman Wiedenmeyer Psychologist 7507 Sagamore Rd, Prairie Village, KS 66208-3613 2011-10-25
1114231651 Timothy John White Psychologist 532 Meadowlark Ln, Newton, KS 67114-5602 2010-07-26
1538308085 Michael Lynch Maestas Psychologist 1200 Schwegler Drive, Room 2100, Counseling and Psychological Services, Lawrence, KS 66045-7559 2009-02-06
1447438395 Tammie Diane Milner Psychologist 1931 W Country Lakes St, Haysville, KS 67060-5601 2008-02-02
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Competitor

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City LEAVENWORTH
Zip Code 66048

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Dataset Information

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.

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