Organization Active NPI

Hutchinson Mental Health, LLC

  • Psychologist
  • Hutchinson, KS
National Provider Identifier
1336802461
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HUTCHINSON MENTAL HEALTH, LLC
Practice address
1206 N Main Street
Hutchinson, KS 67501-4501
Phone
(620) 860-5002
Fax
(620) 860-5002
NPI assigned
Oct 15, 2021
Organization subpart
Yes
Parent organization
HUTCHINSON MENTAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Deborah Elizabeth Burdette
Title
Admin Assist
Phone
(620) 200-2209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1206 N Main Street
Hutchinson, KS 67501-4501

Mailing address

1206 N Main Street
Hutchinson, KS 67501-4501
Phone (620) 860-5002

Other identifiers 1

IdentifierTypeStateIssuer
KA4802OtherKSPTAN

National Provider Directory

National Provider Directory
Part of
Hutchinson Mental Health LLC

Locations

1206 N Main St
Hutchinson, KS 67501
Phone (620) 259-9003

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1336802461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N MAIN STREET",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675014501",
            "telephone_number": "620-860-5002",
            "fax_number": "620-860-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N MAIN STREET",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675014501",
            "telephone_number": "620-860-5002",
            "fax_number": "620-860-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON MENTAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUTCHINSON MENTAL HEALTH, LLC",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "BURDETTE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMIN ASSIST",
        "authorized_official_telephone_number": "620-200-2209"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "KA4802",
            "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 Oct 15, 2021; 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.