Individual provider Active NPI

Kristin L. Goodheart, PH.D.

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1144581489
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2180 Issued in KS
Practice address
940 N Tyler Rd Ste 201
Wichita, KS 67212-3266
Phone
(785) 247-6288
Fax
(785) 444-6468
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 2180 KS Primary

Addresses

Primary practice location

940 N Tyler Rd Ste 201
Wichita, KS 67212-3266

Mailing address

8918 W 21St St N
Ste 200, Box 215
Wichita, KS 67205
Phone (785) 623-0303

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131231000832 KS Practitioner - Clinical Psychologist 2769610450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 Locust St
La Crosse, KS 67548-9673
Phone (785) 222-4276

940 N Tyler Rd
Suite 201
Wichita, KS 67212-3266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2180KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodheart Psychology, LLC Clinical CurrentSince Jun 4, 2018 Accepting new patients

Locations

940 N Tyler Rd
Ste 201
Wichita, KS 67212
Phone (316) 247-6288

8918 W 21st St N
Ste 200
Wichita, KS 67205
Phone (316) 721-2705

940 N Tyler Rd
Ste 209
Wichita, KS 67212
Phone (316) 247-6288

Organizations & group practices 1

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1144581489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 W 21ST ST N",
            "address_2": "STE 200, BOX 215",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "785-623-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N TYLER RD STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123266",
            "telephone_number": "785-247-6288",
            "fax_number": "785-444-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHEART",
        "first_name": "KRISTIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.