Organization Active NPI

Rita Joy Stucky PHD., Inc.

  • Psychologist
  • Lawrence, KS
National Provider Identifier
1184765562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
647 Issued in KS
Legal business name
RITA JOY STUCKY PHD., INC.
Practice address
1311 Wakarusa Dr
St. 2116
Lawrence, KS 66049-4798
Phone
(785) 841-4114
Fax
(785) 841-4114
NPI assigned
Feb 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rita J Stucky, PHD.NPI 1811094485
Title
President
Phone
(785) 841-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 647 KS Primary

Addresses

Primary practice location

1311 Wakarusa Dr
St. 2116
Lawrence, KS 66049-4798

Mailing address

1311 Wakarusa Dr
St. 2116
Lawrence, KS 66049-4798
Phone (785) 841-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000103 KS Part B Supplier - Clinic/Group Practice 9739142845 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

1311 Wakarusa Dr
Ste 2116
Lawrence, KS 66049
Phone (785) 841-4114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184765562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR",
            "address_2": "ST. 2116",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494798",
            "telephone_number": "785-841-4114",
            "fax_number": "785-841-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR",
            "address_2": "ST. 2116",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494798",
            "telephone_number": "785-841-4114",
            "fax_number": "785-841-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA JOY STUCKY PHD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUCKY",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-841-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.