Individual provider Active NPI

Christine Ann Durrett, PHD

  • Clinical Psychologist
  • Manhattan, KS
National Provider Identifier
1013160100
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1994 Issued in KS
Practice address
2505 Anderson Ave
Suite 101
Manhattan, KS 66502-2853
Phone
(785) 236-1180
Fax
(785) 789-4048
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013423 MI
Clinical Psychologist 103TC0700X 1994 KS Primary

Addresses

Primary practice location

2505 Anderson Ave
Suite 101
Manhattan, KS 66502-2853

Mailing address

2505 Anderson Ave
Suite 101
Manhattan, KS 66502-2853
Phone (785) 236-1180

Other identifiers 1

IdentifierTypeStateIssuer
20075005OAMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000509 KS Practitioner - Clinical Psychologist 8628242963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flint Hills Neuropsychology, LLCGroup PAC ID 3375717606, 3 clinicians

Practice addresses (Care Compare)

512 Poyntz Ave
Suite 110
Manhattan, KS 66502-6040
Phone (785) 236-1180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301013423MIMDClinical Psychologist
1994KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Hills Neuropsychology, LLC Clinical CurrentSince Sep 29, 2011 Accepting new patients
Megan Oetinger Psy.D., LLC Clinical Past Accepting new patients

Locations

1408 Poyntz Ave
Manhattan, KS 66502
Phone (785) 776-4105

2505 Anderson Ave
Ste 101
Manhattan, KS 66502
Phone (785) 236-1180

512 Poyntz Ave
Ste 110
Manhattan, KS 66502
Phone (785) 236-1180

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1013160100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANDERSON AVE",
            "address_2": "SUITE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022853",
            "telephone_number": "785-236-1180",
            "fax_number": "785-789-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 ANDERSON AVE",
            "address_2": "SUITE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022853",
            "telephone_number": "785-236-1180",
            "fax_number": "785-789-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRETT",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013423",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20075005OA",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.