Individual provider Active NPI

Mary Ann Abbott, PSY.D.

  • Clinical Psychologist
  • Topeka, KS
National Provider Identifier
1013989458
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
770 Issued in KS
Practice address
2914 SW Plass CT
Topeka, KS 66611-1925
Phone
(785) 233-7138
Fax
(785) 233-7089
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2110 SW Belle Ave
Suite B
Topeka, KS 66614-1773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
770KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Mental Health Clinic, LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients

Locations

2100 SW Belle Ave
Ste B
Topeka, KS 66614

2110 SW Belle Ave
Topeka, KS 66614
Phone (785) 272-5566

2110 SW Belle Ave
Ste B
Topeka, KS 66614
Phone (785) 272-5566

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 770 KS
Cognitive & Behavioral Psychologist 103TB0200X 770 KS
Counseling Psychologist 103TC1900X 770 KS
Clinical Psychologist 103TC0700X 770 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

2914 SW Plass CT
Topeka, KS 66611-1925

Mailing address

2914 SW Plass CT Ste D
Topeka, KS 66611-1925
Phone (785) 233-7138

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100239940AMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2024.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1013989458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 SW PLASS CT STE D",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111925",
            "telephone_number": "785-233-7138",
            "fax_number": "785-233-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 SW PLASS CT",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111925",
            "telephone_number": "785-233-7138",
            "fax_number": "785-233-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "MARY ANN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "770",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "770",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "770",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.