Kansas Cognitive Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KANSAS COGNITIVE CENTER

Practice address

250 N Rock Rd Ste 170
Wichita, KS 67206-2287

Phone

(316) 358-7257

Fax

(316) 358-7002

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jessica R Tebow

Title

Practice Manager

Phone

(316) 358-7257

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Paul Ohlde, PSYD, LP

  • Clinical Psychologist
  • Wichita, KS
  • NPI 1255530788
  NPD

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1013599042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062287",
            "telephone_number": "316-358-7257",
            "fax_number": "316-358-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062287",
            "telephone_number": "316-358-7257",
            "fax_number": "316-358-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS COGNITIVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "TEBOW",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "316-358-7257",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KA4607",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kansas City Vamc
• Kansas City Vamc
• Kansas City Vamc
• Kansas City Vamc
• Kansas City Vamc
• Kansas Covid Response LLC
• Kansas CVS Pharmacy LLC (CVS Pharmacy #17060)
• Kansas CVS Pharmacy LLC (CVS Pharmacy# 10070)
• Kansas CVS Pharmacy LLC (CVS Pharmacy #17062)
• Kansas CVS Pharmacy LLC (CVS Pharmacy# 10159)

• Community/Behavioral Health Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Community/Behavioral Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.