NPIMap

Individual provider Active NPI

Boosya(Bruce) Saichompoo, LMSW

  • Social Worker
  • Independence, KS
National Provider Identifier
1548552318
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8028 Issued in KS
Practice address
501 N Penn Ave
2ND Floor
Independence, KS 67301-3013
Phone
(620) 331-0411
Fax
(620) 331-0497
NPI assigned
May 11, 2011
Last updated
May 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8028 KS Primary

Addresses

Primary practice location

501 N Penn Ave
2ND Floor
Independence, KS 67301-3013

Mailing address

501 N Penn Ave
2ND Floor
Independence, KS 67301-3013
Phone (620) 331-0411

Other names 1

  • Bruce Saichompoo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8028KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1548552318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N PENN AVE",
            "address_2": "2ND FLOOR",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013013",
            "telephone_number": "620-331-0411",
            "fax_number": "620-331-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N PENN AVE",
            "address_2": "2ND FLOOR",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013013",
            "telephone_number": "620-331-0411",
            "fax_number": "620-331-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAICHOMPOO",
        "first_name": "BOOSYA(BRUCE)",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "SAICHOMPOO",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.