Organization Active NPI

Neurodivergent Consultants of Kansas

  • Neurodevelopmental Disabilities Physician
  • Wichita, KS
National Provider Identifier
1326744301
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurodevelopmental Disabilities PhysicianTaxonomy code 2084P0005X
Legal business name
NEURODIVERGENT CONSULTANTS OF KANSAS
Practice address
423 N McLean Blvd
Wichita, KS 67203-5964
Phone
(316) 773-8937
Fax
(316) 202-5180
NPI assigned
Feb 1, 2023
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Amy Lou Quinn, PANPI 1598221335
Title
Owner
Phone
(316) 773-8937

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
Neurodevelopmental Disabilities Physician 2084P0005X NU Primary

Addresses

Primary practice location

423 N McLean Blvd
Wichita, KS 67203-5964

Mailing address

2442 N Bellwood CT
Wichita, KS 67205-1417
Phone (316) 773-8937

Other names 1

  • Neurodivergent Consultants of Kansas Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528001530 KS Part B Supplier - Clinic/Group Practice 2264874890 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

419 N McLean Blvd
Ste M3
Wichita, KS 67203
Phone (316) 773-8937

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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1326744301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 N BELLWOOD CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051417",
            "telephone_number": "316-773-8937",
            "fax_number": "316-202-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N MCLEAN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035964",
            "telephone_number": "316-773-8937",
            "fax_number": "316-202-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVERGENT CONSULTANTS OF KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-773-8937",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurodivergent Consultants of Kansas",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Neurodivergent Consultants of Kansas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 16, 2024; 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.