GLENN A. GUSTITUS (NPI# 1639113582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639113582 |
| Entity Type | Individual |
| Full Name | GLENN A. GUSTITUS |
| Credential | M.A. |
| Practice Address |
809 Elmhurst Blvd Salina KS 67401-7405 |
| Practice Telephone | 7858236322 |
| Practice Fax Number | 7858233109 |
| Mailing Telephone | 7858236322 |
| Mailing Fax Number | 7858233109 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LCP 112 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 393277 | 01 |
| Street Address |
809 ELMHURST BLVD |
| City | SALINA |
| State | KS |
| Zip Code | 67401-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942249966 | Ramani D. Maddali | Psychiatry & Neurology | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2006-06-05 |
| 1538772322 | Mary Rodriguez | Social Worker | 809 Elmhurst Blvd, Salina, KS 67401 | 2020-08-31 |
| 1154948230 | Megan Slubowski | Social Worker | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2020-07-06 |
| 1417581877 | Daneilia Marie Pulido | Social Worker | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2020-02-25 |
| 1417504226 | Kaitlin Jane Stoddard | Social Worker | 809 Elmhurst Blvd, Salina, KS 67401-7428 | 2019-08-26 |
| 1245899889 | Brianna P Smull | Social Worker | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2019-06-07 |
| 1417515263 | Dayna Hauschild | Counselor | 809 Elmhurst Blvd, Salina, KS 67401-7428 | 2019-06-05 |
| 1700379609 | Josie Anne Wacker | Counselor | 809 Elmhurst Blvd, Salina, KS 67401-7428 | 2018-06-14 |
| 1144737701 | Pamela Ann Hlad | Counselor | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2018-01-04 |
| 1376062455 | Deborah Kay Shriver | Registered Nurse | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2017-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757285 | Hannah Heckerson | Counselor | 809 Elmhurst Blvd., Salina, KS 67401 | 2020-07-16 |
| 1942835525 | Kristen Rangel | Behavioral Analyst | 1710 W Schilling Road, Salina, KS 67401 | 2020-03-04 |
| 1063044485 | Summar Anthony | Registered Nurse | 400 S. Sante Fe Ave, Salina, KS 67401 | 2020-02-05 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1790273472 | Sadie E Schnetzler | Nurse Practitioner | 520 S. Santa Fe Ave, Suite 240, Salina, KS 67401 | 2018-04-27 |
| 1932607629 | Oasis Counseling Services LLC | Community/Behavioral Health | 917 E Prescott Rd, Suite 100a, Salina, KS 67401 | 2018-01-26 |
| 1194255661 | Gabriel Keith Harr | Dentist | 1941 S. Ohio St, Salina, KS 67401 | 2017-06-15 |
| 1275068611 | Tammy Michelle Fox | Counselor | 1805 S. Ohio Street, Salina, KS 67401 | 2017-04-24 |
| 1629500285 | Nathaniel Elliott | Physician Assistant | 1001 S. Ohio St, Salina, KS 67401 | 2017-03-31 |
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| 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 |
|---|---|---|---|---|
| 1285102350 | Emmali Buller | Psychologist | 645 E Iron Ave Ste C, Salina, KS 67401-2697 | 2018-11-07 |
| 1790289213 | Judson Ryan Poling | Psychologist | 730 Holly Ln, Salina, KS 67401-8452 | 2018-03-20 |
| 1497277107 | Katelynn Reed | Psychologist | 645 E Iron Ave Ste C, Salina, KS 67401-2697 | 2017-07-13 |
| 1699138180 | Katie Schwartz | Psychologist | 645 E Iron Ave Ste C, Salina, KS 67401-2697 | 2016-04-01 |
| 1215333042 | Jeffrey Dohm | Psychologist | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2014-11-05 |
| 1588067490 | Claudia Grace Canales | Psychologist | 730 Holly Ln, Salina, KS 67401-8452 | 2014-10-06 |
| 1487805404 | Shane D Hudson | Psychologist | 617 E Elm St, Salina, KS 67401-8537 | 2008-10-08 |
| 1073769485 | Darrin Edwin Sewell | Psychologist | 5097 W Cloud St, Salina, KS 67401-9743 | 2008-08-18 |
| 1861691164 | Kathryn Rose Mosher | Psychologist | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2007-07-16 |
| 1487739496 | Dennis R Shelton | Psychologist | 809 Elmhurst Blvd, Salina, KS 67401-7405 | 2006-10-26 |
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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.