Kristin Teasdale PHD LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1939 Issued in KS

Legal business name

KRISTIN TEASDALE PHD LLC

Practice address

1201 Wakarusa Dr
E2, Suite 102
Lawrence, KS 66049

Phone

(913) 226-5278

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Kristin Teasdale, PHDNPI 1487988333

Title

Licensed Psychologist

Phone

(785) 434-3479

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Kristin Teasdale, PH.D.

  • Counseling Psychologist
  • Lawrence, KS
  • NPI 1487988333
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547856000000",
    "number": "1366932782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR STE E2",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491892",
            "telephone_number": "785-434-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR",
            "address_2": "E2, SUITE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "913-226-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN TEASDALE PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2019-01-19",
        "status": "A",
        "authorized_official_last_name": "TEASDALE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "785-434-3479",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Stephen Krieshok, PH.D.
• Matthew F Krische, DDS
• Courtney Rochelle Krisher, PA-C
• Linda A Kriss, LSCSW
• Sonja Eleanor Kristiansen, TLMSW
• Kristine McIver Johnson PHD LLC
• Melanie Krumsick
• Ktaylor Therapy and Supervision LLC
• Tessa Carol Kubiak, P.T.A
• Justin Donald Kuhlman, PT, DPT

• Community/Behavioral Health Agency in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Community/Behavioral Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.