Kelsey Faber, PSY.D., LP, LMLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

03167 Issued in KS

Practice address

7570 W 21St St N Ste 1026D
Wichita, KS 67205-1764

Phone

(316) 634-4700

Fax

(316) 634-4770

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie View IncGroup PAC ID 5496652471, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prairie View, Inc.

  • Psychiatry Physician
  • Newton, KS
  • NPI 1558426486
  Medicare reassignment Care Compare group
• Prairie View Inc

  • Community/Behavioral Health Agency
  • Newton, KS
  • NPI 1578252904
  NPD (past)
• Prairie View, Inc.

  • Psychiatric Hospital
  • Wichita, KS
  • NPI 1902251655
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1063821007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1026D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051764",
            "telephone_number": "316-634-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1026D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051764",
            "telephone_number": "316-634-4700",
            "fax_number": "316-634-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "KELSEY",
        "credential": "PSY.D., LP, LMLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "03167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express LLC
• Eyewear Junkie
• Eyeworks Eyewear Shoppe
• Robert Lamar Eyster, M.D.
• Brittni N Ezeah, LSCSW
• Kara Ann Fadanelli, DO
• Ryan Christopher Faflick, DPT
• Janet Fagan
• Kelci Fagan
• Todd Allen Fagan

• Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.