WUBBENHORST & WUBBENHOTST, INC. (NPI# 1497009419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497009419 |
| Entity Type | Organization |
| Organization Name | WUBBENHORST & WUBBENHOTST, INC. |
| Other Organization Name | MADISON AVENUE PSYCHOLOGICAL SERVICES |
| Practice Address |
8826 Santa Fe Dr Suite 306 Overland Park KS 66212-3655 |
| Mailing Address |
3100 Broadway St Suite 1104 Kansas City MO 64111-2658 |
| Practice Telephone | 9133833333 |
| Practice Fax Number | 9133411155 |
| Mailing Telephone | 8167533333 |
| Mailing Fax Number | 8167537744 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | JOHN M WUBBENHORST SR. (PRESIDENT) |
| Authorized Official Telephone | 8167533333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Madison Avenue Psychological Services | Doing Business As Name - Organization |
| Street Address |
8826 SANTA FE DR SUITE 306 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66212-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073575494 | James Arthur Roberts | Social Worker | 8826 Santa Fe Dr, Overland Park, KS 66212-3672 | 2006-04-03 |
| 1427584887 | The Trinity Group of Kansas City, LLC | Social Worker | 8826 Santa Fe Dr, Suite 219, Overland Park, KS 66212-3655 | 2017-05-04 |
| 1891239109 | Brian Abbott | Counselor | 8826 Santa Fe Dr, Overland Park, KS 66212-3655 | 2016-12-06 |
| 1285090720 | Kelly R. Moore Therapy LLC | Social Worker | 8826 Santa Fe Dr, Suite 210, Overland Park, KS 66212-3655 | 2016-01-13 |
| 1871904904 | Dhyana Coil | Marriage & Family Therapist | 8826 Santa Fe Dr, Suite 204, Overland Park, KS 66212-3655 | 2014-05-12 |
| 1255756144 | Insight Behavioral Health, Pa | Psychologist | 8826 Santa Fe Dr, Suite 170, Overland Park, KS 66212-3655 | 2014-02-28 |
| 1629407424 | Kareecia Thompson | Marriage & Family Therapist | 8826 Santa Fe Dr, Suite 204, Overland Park, KS 66212-3655 | 2013-11-02 |
| 1790038867 | Ida Jane Davis | Speech-Language Pathologist | 8826 Santa Fe Dr, Suite #303, Overland Park, KS 66212-3655 | 2012-10-26 |
| 1083718290 | Richard Leland Benson | Psychologist | 8826 Santa Fe Dr, Ste 170, Overland Park, KS 66212-3655 | 2006-09-08 |
| 1982654786 | James Alan Jennings | Social Worker | 8826 Santa Fe Dr, Suite 215, Overland Park, KS 66212-3655 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1518572163 | Pathways To Empowerment | Marriage & Family Therapist | 7180 W. 107th Street, St. 21, Overland Park, KS 66212 | 2020-09-10 |
| 1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
| 1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
| 1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
| 1831600360 | Kristin Nichols | Occupational Therapist | 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 | 2017-10-24 |
| 1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1699158279 | Harbor Hospice of Kansas Lp | Hospice Care, Community Based | 7223 W 95th St Ste 230, Overland Park, KS 66212 | 2015-07-01 |
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| Find all providers in zip 66212 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
| 1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
| 1952821142 | Forensic Psychology Associates, Inc. | Psychologist | 8826 Santa Fe Dr Ste 170, Overland Park, KS 66212-3673 | 2017-06-20 |
| 1265970909 | Julie Franchett | Psychologist | 9105 W 95th Ter, Overland Park, KS 66212-4007 | 2017-02-02 |
| 1710422381 | Charlotte M Rosenak Phd LLC | Psychologist | 8575 W 110th St Ste 218, Overland Park, KS 66210-2620 | 2017-01-05 |
| 1366992505 | Susan Bearce | Psychologist | 15721 Outlook St, Overland Park, KS 66223-3451 | 2016-10-12 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1093123390 | Jordan Psychological Assessment Center LLC | Psychologist | 6720 W 121st St, Suite 101, Overland Park, KS 66209-2002 | 2014-07-30 |
| 1861674962 | Karen M Jordan | Psychologist | 6720 W. 121st St., Suite 101, Overland Park, KS 66209 | 2007-11-30 |
| 1528183159 | Bernard J Sullivan Phd LLC | Psychologist | 10540 Marty St Ste 155, Overland Park, KS 66212-2654 | 2007-03-20 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66212 |
Please comment or provide details below to improve the information on WUBBENHORST & WUBBENHOTST, INC..
| 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.