Individual provider Active NPI

Christian M Vargas, PHD, LP

  • Psychologist
  • Lawrence, KS
National Provider Identifier
1184820169
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1099 Issued in KS
Practice address
1200 Schwegler Dr
RM 2100
Lawrence, KS 66045-7538
Phone
(785) 864-2277
Fax
(785) 864-2721
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1099 KS Primary

Addresses

Primary practice location

1200 Schwegler Dr
RM 2100
Lawrence, KS 66045-7538

Mailing address

1200 Schwegler Dr
RM 2100
Lawrence, KS 66045-7538
Phone (785) 864-2277

Other identifiers 1

IdentifierTypeStateIssuer
100117700AMedicaidKS

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1099KSMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1184820169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SCHWEGLER DR",
            "address_2": "RM 2100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457538",
            "telephone_number": "785-864-2277",
            "fax_number": "785-864-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SCHWEGLER DR",
            "address_2": "RM 2100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457538",
            "telephone_number": "785-864-2277",
            "fax_number": "785-864-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "CHRISTIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117700A",
            "state": "KS"
        }
    ],
    "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 Dec 5, 2013; 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.