Trever Patton, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY202376 Issued in ID

Legal business name

TREVER PATTON, PA

Practice address

7807 E Funston St
Wichita, KS 67207-3123

Phone

(316) 636-1188

Fax

(316) 636-1190

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Trever L Patton, PH.D.NPI 1013952134

Title

President

Phone

(316) 636-1188

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trever L Patton, PHD

  • Clinical Psychologist
  • Wichita, KS
  • NPI 1013952134
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1124208533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073123",
            "telephone_number": "316-636-1188",
            "fax_number": "316-636-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073123",
            "telephone_number": "316-636-1188",
            "fax_number": "316-636-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVER PATTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "TREVER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-636-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY202376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013952134",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N6300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "16849372",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010160661",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Jane Treft
• Deborah Tremain, SLP
• Heather Trementozzi
• Keriann Dawn Trent, DPT
• Susan M Trepoy, ARNP
• Debra A Trevett
• Grace Trevett, DPT
• Norman Keith Trevolt, ARNP
• Michael W Treweeke, MD
• Monica R Triana, MA, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.