Organization Active NPI

Haysville Mental Health & Substance Abuse, Inc

  • Psychologist
  • Haysville, KS
National Provider Identifier
1497980585
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LCP 116 Issued in KS
Legal business name
HAYSVILLE MENTAL HEALTH & SUBSTANCE ABUSE, INC
Practice address
301 W Grand Ave
Haysville, KS 67060-1201
Phone
(316) 522-1444
Fax
(316) 361-0679
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Ms. Lisa Crenshaw, PHDNPI 1215161518
Title
Clinical Director
Phone
(316) 522-1444

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 LCP 116 KS Primary

Addresses

Primary practice location

301 W Grand Ave
Haysville, KS 67060-1201

Mailing address

1931 W Country Lakes St
Haysville, KS 67060-5601
Phone (316) 522-1444

National Provider Directory

National Provider Directory

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1497980585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 W COUNTRY LAKES ST",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670605601",
            "telephone_number": "316-522-1444",
            "fax_number": "316-361-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W GRAND AVE",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670601201",
            "telephone_number": "316-522-1444",
            "fax_number": "316-361-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYSVILLE MENTAL HEALTH & SUBSTANCE ABUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "316-522-1444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "LCP 116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haysville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.