Individual provider Active NPI

Lisa S Toburen, PHD

  • Psychologist
  • Manhattan, KS
National Provider Identifier
1053506717
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2333 Issued in KS
Practice address
720 Poyntz Ave
Manhattan, KS 66502-6355
Phone
(785) 320-7331
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2333 KS Primary

Addresses

Primary practice location

720 Poyntz Ave
Manhattan, KS 66502-6355

Mailing address

720 Poyntz Ave
Manhattan, KS 66502-6355
Phone (785) 320-7331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828001352 KS Practitioner - Clinical Psychologist 3274849773 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2333KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group KS, P.a. CurrentSince May 1, 2025 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Feb 19, 2020 Accepting new patients
Elizabeth Layton Center, Inc. PastSince Feb 8, 2023 Accepting new patients

Locations

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

25955 W 327th St
Paola, KS 66071
Phone (913) 557-9096

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1053506717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026355",
            "telephone_number": "785-320-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026355",
            "telephone_number": "785-320-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBUREN",
        "first_name": "LISA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.