Active NPI
Mary Kathleen Flynn, LMLP
- Psychologist
- Hutchinson, KS
National Provider Identifier
1265694004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1154
- Practice address
- 1600 N Lorraine St
Suite 202
Hutchinson, KS 67501-5670 - Phone
- (620) 663-7595
- Fax
- (620) 728-2037
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1154 | KS | Primary |
Addresses
Primary practice location
1600 N Lorraine St
Suite 202
Hutchinson, KS 67501-5670
Mailing address
1600 N Lorraine St
Suite 202
Hutchinson, KS 67501-5670
Phone (620) 663-7595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098120A | Medicaid | KS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1265694004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N LORRAINE ST",
"address_2": "SUITE 202",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015670",
"telephone_number": "620-663-7595",
"fax_number": "620-728-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N LORRAINE ST",
"address_2": "SUITE 202",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675015670",
"telephone_number": "620-663-7595",
"fax_number": "620-728-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"credential": "LMLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "1154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098120A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.