Organization Active NPI

Interpersonal Advanced Treatment

  • Psychiatry Physician
  • Lawrence, KS
National Provider Identifier
1366059040
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTERPERSONAL ADVANCED TREATMENT
Practice address
1045 E 23Rd St
Lawrence, KS 66046-5003
Phone
(785) 393-6167
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Anissa Pfannenstiel, LSCSW
Title
Coo
Phone
(785) 393-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1045 E 23Rd St
Lawrence, KS 66046-5003

Mailing address

1045 E 23Rd St
Lawrence, KS 66046-5003
Phone (785) 393-6167

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anissa@ip-psych.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1366059040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465003",
            "telephone_number": "785-393-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465003",
            "telephone_number": "785-393-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERPERSONAL ADVANCED TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "PFANNENSTIEL",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "785-393-6167",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anissa@ip-psych.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1045 E 23rd St",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660465003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.