Individual provider Active NPI

Paul Lovejoy Kurtzweil, LP

  • Cognitive & Behavioral Psychologist
  • Wichita, KS
National Provider Identifier
1225011380
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
0935 Issued in KS
Practice address
9415 E Harry St Ste 204
Wichita, KS 67207-5076
Phone
(316) 200-5391
Fax
(316) 618-9291
NPI assigned
Nov 22, 2005
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 0935 KS Primary

Addresses

Primary practice location

9415 E Harry St Ste 204
Wichita, KS 67207-5076

Mailing address

9415 E Harry St Ste 204
Wichita, KS 67207-5076
Phone (316) 200-5391

Other practice location 1

9415 E Harry St Ste 204
Wichita, KS 67207-5076
Phone (316) 200-5391

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000779 KS Practitioner - Clinical Psychologist 5698805174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

113 N Mars St
Paul Lovejoy Kurtzweil PH.D
Wichita, KS 67212-5965
Phone (316) 200-5391

9415 E Harry St
Wichita, KS 67207-5076
Phone (316) 200-5391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Paul L. Kurtzweil, PH.D. LLC CurrentSince Aug 1, 2010 Accepting new patients
South Central Mental Health Counseling Center, Inc. Past Accepting new patients
Prairie View, Inc. PastSince Aug 6, 2012 Accepting new patients
Prairie View Inc Past Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients

Locations

7807 E Funston St
Wichita, KS 67207
Phone (316) 636-1188

9415 E Harry St
Ste 204
Wichita, KS 67207
Phone (316) 200-5391

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1225011380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075076",
            "telephone_number": "316-200-5391",
            "fax_number": "316-618-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075076",
            "telephone_number": "316-200-5391",
            "fax_number": "316-618-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9415 E Harry St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672075076",
            "country_code": "US",
            "telephone_number": "316-200-5391",
            "fax_number": "316-618-9291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZWEIL",
        "first_name": "PAUL",
        "middle_name": "LOVEJOY",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "0935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.