Active NPI
Eli William Stewart
- Psychologist
- Lawrence, KS
National Provider Identifier
1053188334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 03263
- Practice address
- 200 Maine St Ste a
Lawrence, KS 66044-1396 - Phone
- (785) 843-9192
- NPI assigned
- Dec 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 03263 | KS | Primary |
Addresses
Primary practice location
200 Maine St Ste a
Lawrence, KS 66044-1396
Mailing address
200 Maine St Ste a
Lawrence, KS 66044-1396
Phone (785) 843-9192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03263 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1053188334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MAINE ST STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441396",
"telephone_number": "785-843-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAINE ST STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441396",
"telephone_number": "785-843-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ELI",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "03263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.