Individual provider Active NPI

Carol Hammon Paulson, PHD, RN, ARNP

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1376518928
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
777 Issued in KS
Practice address
4972 N. Wyndham CT.,
Wichita, KS 67219-5500
Phone
(316) 832-2340
Fax
(316) 838-4909
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 14051451041 KS
Clinical Psychologist 103TC0700X 777 KS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74458 KS

Addresses

Primary practice location

4972 N. Wyndham CT.,
Wichita, KS 67219-5500

Mailing address

4972 N Wyndham CT.
Wichita, KS 67219-5500
Phone (316) 650-9015

Other names 1

  • Dr. Carol Lynn Hammon-Paulson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330000749 KS Practitioner - Clinical Psychologist 0446206684 Practice locations: Wichita, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4972 Wyndham CT
Wichita, KS 67219-5500
Phone (316) 832-2340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
777KSMDClinical Psychologist
14051451041KSMDRegistered Nurse
74458KSMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1376518928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 N WYNDHAM CT.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672195500",
            "telephone_number": "316-650-9015",
            "fax_number": "316-838-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 N. WYNDHAM CT.,",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672195500",
            "telephone_number": "316-832-2340",
            "fax_number": "316-838-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "CAROL",
        "middle_name": "HAMMON",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14051451041",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "777",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "HAMMON-PAULSON",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "PHD, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.