Organization Active NPI

Psychological Development Services

  • Psychologist
  • Olathe, KS
National Provider Identifier
1497874143
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
275 Issued in KS
Legal business name
PSYCHOLOGICAL DEVELOPMENT SERVICES
Practice address
413 E Santa Fe St
Suite B
Olathe, KS 66061-3445
Phone
(913) 782-4996
Fax
(913) 782-4997
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James J Khalili, PH. D.NPI 1841214988
Title
Psychologist
Phone
(913) 782-4996

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 275 KS Primary

Addresses

Primary practice location

413 E Santa Fe St
Suite B
Olathe, KS 66061-3445

Mailing address

413 E Santa Fe St
Suite B
Olathe, KS 66061-3445
Phone (913) 782-4996

National Provider Directory

National Provider Directory

Locations

413 E Santa Fe St
Ste B
Olathe, KS 66061
Phone (913) 254-0001

Practitioners & affiliated clinicians

Practitioners 1

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497874143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E SANTA FE ST",
            "address_2": "SUITE B",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613445",
            "telephone_number": "913-782-4996",
            "fax_number": "913-782-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E SANTA FE ST",
            "address_2": "SUITE B",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613445",
            "telephone_number": "913-782-4996",
            "fax_number": "913-782-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "913-782-4996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.