Individual provider Active NPI

Mirna Loya, PSY.D.

  • Psychologist
  • Wichita, KS
National Provider Identifier
1164969689
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137
Phone
(316) 285-9413
Fax
(316) 932-1556
NPI assigned
Jan 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137

Mailing address

1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137
Phone (316) 285-9413

Other practice location 1

1223 N Rock Rd
Wichita, KS 67206
Phone (316) 636-2888

Other practice location 2

1900 N Amidon Ave Ste 210
Wichita, KS 67203-2137
Phone (316) 285-9413

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mirna@ablewichita.com Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1164969689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N AMIDON AVE STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032137",
            "telephone_number": "316-285-9413",
            "fax_number": "316-932-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N AMIDON AVE STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032137",
            "telephone_number": "316-285-9413",
            "fax_number": "316-932-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 N Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67206",
            "country_code": "US",
            "telephone_number": "316-636-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N Amidon Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672032137",
            "country_code": "US",
            "telephone_number": "316-285-9413",
            "fax_number": "316-932-1556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOYA",
        "first_name": "MIRNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mirna@ablewichita.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1900 N Amidon Ave Ste 210",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672032137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.