Austin T Deslauriers, PH.D

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LP-0736 Issued in KS

Practice address

3111 10TH St
Suite 105
Great Bend, KS 67530-4271

Phone

(620) 792-5227

Fax

(620) 793-5666

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harvest of Hope Family Services

  • Community/Behavioral Health Agency
  • Great Bend, KS
  • NPI 1942390042
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003018532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W BARTON COUNTY RD",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675309345",
            "telephone_number": "620-793-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 10TH ST",
            "address_2": "SUITE 105",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304271",
            "telephone_number": "620-792-5227",
            "fax_number": "620-793-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLAURIERS",
        "first_name": "AUSTIN",
        "middle_name": "T",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "LP-0736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kathryn Davis
• Hannah Degenhardt
• Carol Louise Dellinger, LCPC
• John W Delp, RT
• Sylvia Ann Des Lauriers
• Douglas C Diel, LMCP LCP
• Dillon Companies LLC
• Brenda Kay Dinges, APRN FNP-C
• Lauren Doctor
• Tamara L Dody, DPT

• Cognitive & Behavioral Psychologist in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Cognitive & Behavioral Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.