Active NPI
Nickolas Macaluso, LPC
- Clinical Psychologist
- Atchison, KS
National Provider Identifier
1588060362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2402
- Practice address
- 201 Main St
Atchison, KS 66002-2838 - Phone
- (913) 367-1593
- Fax
- (913) 367-1627
- NPI assigned
- Nov 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2402 | KS | Primary |
Addresses
Primary practice location
201 Main St
Atchison, KS 66002-2838
Mailing address
500 Limit St
Leavenworth, KS 66048-4435
Phone (913) 682-5118
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Main St
Suite 100
Atchison, KS 66002-2828
Phone (913) 367-1593
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2402 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Guidance Center, Inc | Current | Accepting new patients | |
| The Guidance Center, Inc | Past | Accepting new patients |
Locations
201 Main St
Ste 100
Atchison, KS 66002
Phone (913) 367-1593
500 Limit St
Leavenworth, KS 66048
Phone (913) 682-5118
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Leavenworth, KS
- NPI 1841262839
-
- Community/Behavioral Health Agency
- Leavenworth, KS
- NPI 1912697186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1588060362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LIMIT ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484435",
"telephone_number": "913-682-5118",
"fax_number": "913-682-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MAIN ST",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660022838",
"telephone_number": "913-367-1593",
"fax_number": "913-367-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACALUSO",
"first_name": "NICKOLAS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-06",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "2402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atchison, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.