Katherine Leahy Psychology LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1757 Issued in KS

Legal business name

KATHERINE LEAHY PSYCHOLOGY LLC

Practice address

439 N McLean Blvd Ste 102
Wichita, KS 67203-5900

Phone

(316) 263-3627

Fax

(316) 462-0793

NPI assigned

Jun 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Rayne Leahy, LPNPI 1619168002

Title

Owner

Phone

(316) 304-6104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Katherine Rayne Leahy, PSYD

  • Clinical Psychologist
  • Andover, KS
  • NPI 1619168002

  KS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1154841690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N OAK RIDGE AVE",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528621",
            "telephone_number": "316-304-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 N MCLEAN BLVD STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035900",
            "telephone_number": "316-263-3627",
            "fax_number": "316-462-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE LEAHY PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "RAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-304-6104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "1757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian S. Katan, MD
• Kate Cunningham
• Kater Optometric Services LLC
• Eric D Kater, MD
• Marcus Allen Kater, M.D.
• Kathrine F. Girrens, MD, LLC
• Kathryn Van Winkle-Patyk D.C.,P.a.
• Kathy Brace CPM, Inc.
• Shanna Kating
• Michael M Katunzi, APRN

• All providers in Wichita, KS
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.