Organization Active NPI

Goodheart Psychology, LLC

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1023508652
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2180 Issued in KS
Legal business name
GOODHEART PSYCHOLOGY, LLC
Practice address
940 N Tyler Rd Ste 201
Wichita, KS 67212-3266
Phone
(316) 247-6288
Fax
(316) 444-6468
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Kristin L Goodheart, PHDNPI 1144581489
Title
Licensed Psychologist, Operator
Phone
(785) 222-4276

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2180 KS Primary

Addresses

Primary practice location

940 N Tyler Rd Ste 201
Wichita, KS 67212-3266

Mailing address

PO Box 363
La Crosse, KS 67548-0363
Phone (785) 222-4276

Other identifiers 1

IdentifierTypeStateIssuer
200589950AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180612002528 KS Part B Supplier - Clinic/Group Practice 3779838925 Receives reassigned benefits from 1 practitioner
Practice locations: La Crosse, KS

National Provider Directory

National Provider Directory

Locations

940 N Tyler Rd
Ste 201
Wichita, KS 67212
Phone (316) 247-6288

940 N Tyler Rd
Ste 209
Wichita, KS 67212
Phone (316) 247-6288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1023508652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675480363",
            "telephone_number": "785-222-4276",
            "fax_number": "785-222-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N TYLER RD STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123266",
            "telephone_number": "316-247-6288",
            "fax_number": "316-444-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODHEART PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "GOODHEART",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, OPERATOR",
        "authorized_official_telephone_number": "785-222-4276",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200589950A",
            "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 Mar 24, 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.

Verify at the official NPI Registry.