Rebecca L Jabara LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LCP1479 Issued in KS

Legal business name

REBECCA L JABARA LLC

Practice address

6122 Shadybrook St
Wichita, KS 67208-1862

Phone

(316) 641-0606

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca L Jabara, LCPNPI 1629455928

Title

Sole Member

Phone

(316) 641-0606

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Lynn Jabara, LCP LMLP

  • Clinical Psychologist
  • Wichita, KS
  • NPI 1629455928
  Authorized official Same address or phone

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1518468164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081862",
            "telephone_number": "316-641-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081862",
            "telephone_number": "316-641-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA L JABARA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "JABARA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "316-641-0606",
        "authorized_official_credential": "LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LCP1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Life LLC
• Real Ones Recovery LLC
• Janin Real Sanchez
• Samuel Joseph Reals, DC
• Thomas C Reals, MD
• Recover-Care Wichita LLC
• Recovery Concepts Inc. (Indian Alcoholism Treatment Services)
• Recovery Redefined LLC
• Recovery Rocks LLC
• Recovery Rocks LLC

• Clinical Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.