Active NPI
Darrin Edwin Sewell, LMLP
- Psychologist
- Salina, KS
National Provider Identifier
1073769485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1257
- Practice address
- 5097 W Cloud St
Salina, KS 67401-9743 - Phone
- (785) 825-0563
- Fax
- (785) 825-0623
- NPI assigned
- Aug 18, 2008
- 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 | 1257 | KS | Primary |
Addresses
Primary practice location
5097 W Cloud St
Salina, KS 67401-9743
Mailing address
509 E Elm St
Salina, KS 67401-2353
Phone (785) 825-0541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200567220A | Medicaid | KS |
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 |
|---|---|---|---|
| 1257 | KS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1073769485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 E ELM ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674012353",
"telephone_number": "785-825-0541",
"fax_number": "785-825-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5097 W CLOUD ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674019743",
"telephone_number": "785-825-0563",
"fax_number": "785-825-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "DARRIN",
"middle_name": "EDWIN",
"credential": "LMLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "1257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200567220A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.