NPIMap

Organization Active NPI

Wichita Growth Center, P.a.

  • Psychologist
  • Wichita, KS
National Provider Identifier
1245387885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0252 Issued in KS
Legal business name
WICHITA GROWTH CENTER, P.A.
Practice address
641 S Hillside St
Wichita, KS 67211-3001
Phone
(316) 684-2422
Fax
(316) 684-1210
NPI assigned
Jan 5, 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. Donald Thomas Blasi, PH.D.
Title
Director
Phone
(316) 684-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0252 KS Primary

Addresses

Primary practice location

641 S Hillside St
Wichita, KS 67211-3001

Mailing address

641 S Hillside St
Wichita, KS 67211-3001
Phone (316) 684-2422

National Provider Directory

National Provider Directory

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245387885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113001",
            "telephone_number": "316-684-2422",
            "fax_number": "316-684-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113001",
            "telephone_number": "316-684-2422",
            "fax_number": "316-684-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA GROWTH CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLASI",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "316-684-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "0252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 2020; 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.