Active NPI
Kristin L. Goodheart, PH.D.
- Clinical Psychologist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2180
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2180 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodheart Psychology, LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Wichita, KS
- NPI 1023508652
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.