Individual provider Active NPI

Robert Harold Bean, PH.D.

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1104979848
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0799 Issued in KS
Practice address
5500 East Kellogg
Robert J. Dole VA Medical Center
Wichita, KS 67218
Phone
(316) 685-2221
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0799 KS Primary

Addresses

Primary practice location

5500 East Kellogg
Robert J. Dole VA Medical Center
Wichita, KS 67218

Mailing address

5500 East Kellogg
Robert J. Dole VA Medical Center
Wichita, KS 67218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0799KSMDClinical Psychologist
799KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Mental Health Center PastSince Jan 1, 1990 Accepting new patients
Sumner Mental Health Center PastSince Jan 1, 1990 Accepting new patients
Sumner Regional Medical Center PastSince Apr 30, 2003 Accepting new patients
Sumner Mental Health Center PastSince Jan 1, 1990 Accepting new patients
Sumner Mental Health Center PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 5

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1104979848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 EAST KELLOGG",
            "address_2": "ROBERT J. DOLE VA MEDICAL CENTER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 EAST KELLOGG",
            "address_2": "ROBERT J. DOLE VA MEDICAL CENTER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "316-685-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "ROBERT",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "0799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.