Individual provider Active NPI

Judith Corkum, PH.D.

  • Psychologist
  • Topeka, KS
National Provider Identifier
1013911627
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP0611 Issued in KS
Practice address
835 SW Western Ave
Topeka, KS 66606-1446
Phone
(785) 233-9400
Fax
(785) 233-9090
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP0611 KS Primary

Addresses

Primary practice location

835 SW Western Ave
Topeka, KS 66606-1446

Mailing address

835 SW Western Ave
Topeka, KS 66606-1446
Phone (785) 233-9400

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
I20050406001211 KS Practitioner - Clinical Psychologist 2163479577 Practice locations: Topeka, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

835 SW Western Ave
Topeka, KS 66606-1446
Phone (785) 233-9400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP0611KSMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013911627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SW WESTERN AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061446",
            "telephone_number": "785-233-9400",
            "fax_number": "785-233-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SW WESTERN AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061446",
            "telephone_number": "785-233-9400",
            "fax_number": "785-233-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKUM",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "LP0611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.