Organization Active NPI

Andover Psychological Services PA

  • Psychologist
  • Wichita, KS
National Provider Identifier
1073887345
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0562 Issued in KS
Legal business name
ANDOVER PSYCHOLOGICAL SERVICES PA
Practice address
350 S Fountain St
Wichita, KS 67218-1326
Phone
(316) 733-1980
Fax
(316) 733-1980
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Stephen P Amos, PHD
Title
Psychologist
Phone
(316) 733-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 0562 KS Primary

Addresses

Primary practice location

350 S Fountain St
Wichita, KS 67218-1326

Mailing address

PO Box 843
Andover, KS 67002-0843
Phone (316) 733-1980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1073887345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670020843",
            "telephone_number": "316-733-1980",
            "fax_number": "316-733-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S FOUNTAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181326",
            "telephone_number": "316-733-1980",
            "fax_number": "316-733-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER PSYCHOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "316-733-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "0562",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.