Individual provider Active NPI

Derek M Parker, PSY.D.

  • Psychologist
  • Winfield, KS
National Provider Identifier
1568690923
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2981 Issued in KS
Practice address
33354 D Street
Winfield, KS 67301
Phone
(620) 331-1748
Fax
(620) 417-0308
NPI assigned
Jun 24, 2009
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2981 KS Primary
Psychologist 103T00000X 2441 KS
Addiction (Substance Use Disorder) Psychologist 103TA0400X 035 KS
Adult Development & Aging Psychologist 103TA0700X 2441 KS
Cognitive & Behavioral Psychologist 103TB0200X 2441 KS
Family Psychologist 103TF0000X NU
Forensic Psychologist 103TF0200X NU
Psychoanalysis Psychologist 103TP0814X 2441 KS
Group Psychotherapy Psychologist 103TP2701X 2441 KS
Health Psychologist 103TH0004X NU

Addresses

Primary practice location

33354 D Street
Winfield, KS 67301

Mailing address

3354 D Street
Winfield, KS 67301
Phone (620) 331-1748

Other practice location 1

1901 E 1st St
Newton, KS 67114-5010
Phone (316) 284-6400

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
I20190520000699 KS Practitioner - Clinical Psychologist 7012250830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ralph Bharati, MD, PAGroup PAC ID 0042206229, 7 clinicians

Practice addresses (Care Compare)

8911 E Orme St
Suite a
Wichita, KS 67207-2424
Phone (316) 686-7884

Merit-based Incentive Payment System (MIPS)

Final score
56.65 of 100Reported as group
Quality
0
Improvement activities
40
Cost
72.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035KSMDAddiction (Substance Use Disorder) Counselor
2981KSMDMental Health Counselor
2441KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health America of South Central Kansas, Inc. Single Specialty CurrentSince Jul 22, 2024 Accepting new patients
Ralph Bharati, MD, PA Addiction (Substance Use Disorder) CurrentSince Dec 1, 2024 Accepting new patients

Locations

555 N Woodlawn St
Ste 3105
Wichita, KS 67208
Phone (316) 651-1201

8911 E Orme St
Ste A
Wichita, KS 67207
Phone (316) 686-7884

9415 E Harry St
Ste 800
Wichita, KS 67207
Phone (316) 652-2590

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1568690923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 D STREET",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "67301",
            "telephone_number": "620-331-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33354 D STREET",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "67301",
            "telephone_number": "620-331-1748",
            "fax_number": "620-417-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671145010",
            "country_code": "US",
            "telephone_number": "316-284-6400",
            "fax_number": "316-284-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DEREK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2981",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2441",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "035",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "KS",
            "license": "2441",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "2441",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "KS",
            "license": "2441",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "KS",
            "license": "2441",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

Verify at the official NPI Registry.