Active NPI
Christine Ann Durrett, PHD
- Clinical Psychologist
- Manhattan, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20075005OA | Medicaid | KS |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013423 | MI | MD | Clinical Psychologist |
| 1994 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flint Hills Neuropsychology, LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Manhattan, KS
- NPI 1881979052
-
- Clinical Psychologist
- Manhattan, KS
- NPI 1033375761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.