Active NPI
Minja Psychiatric Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
National Provider Identifier
1013635903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINJA PSYCHIATRIC SERVICES LLC
- Practice address
- 6611 E Central Ave Ste C
Wichita, KS 67206-1937 - Phone
- (316) 648-1157
- Fax
- (866) 316-4467
- NPI assigned
- Aug 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Minja, APRN
- Title
- Owner
- Phone
- (316) 371-0465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
6611 E Central Ave Ste C
Wichita, KS 67206-1937
Mailing address
12002 W Jewell CT
Wichita, KS 67235-4100
Phone (316) 371-0465
Other practice location 1
2800 S Rock Rd
Wichita, KS 67210-1801
Phone (316) 648-1157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013635903 | Other | KS | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
- NPI 1225495807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786060800000",
"number": "1013635903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12002 W JEWELL CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672354100",
"telephone_number": "316-371-0465",
"fax_number": "866-316-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 E CENTRAL AVE STE C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061937",
"telephone_number": "316-648-1157",
"fax_number": "866-316-4467"
}
],
"practiceLocations": [
{
"address_1": "2800 S Rock Rd",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672101801",
"country_code": "US",
"telephone_number": "316-648-1157",
"fax_number": "866-316-4467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MINJA PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-17",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A",
"authorized_official_last_name": "MINJA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-371-0465",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1013635903",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.