NPIMap

Organization Active NPI

Wsu Psychology Clinic

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1598459000
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WSU PSYCHOLOGY CLINIC
Practice address
Department of Psychology - Wsu Psychology Clinic
1845 Fairmount St Campus
Wichita, KS 67260
Phone
(316) 978-3170
Fax
(316) 978-3086
NPI assigned
Jun 7, 2023
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Dr. Michelle Renee Patrick, PH.D. PSYCHOLOGIST
Title
Faculty
Phone
(316) 978-3212

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU
Clinical Psychologist 103TC0700X NU Primary
Counseling Psychologist 103TC1900X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

Department of Psychology - Wsu Psychology Clinic
1845 Fairmount St Campus
Wichita, KS 67260

Mailing address

Department of Psychology - Wsu Psychology Clinic
1845 Fairmount St Campus Box 34
Wichita, KS 67260
Phone (316) 978-3170

National Provider Directory

National Provider Directory
Tax ID family
Wichita State University Student Health Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1598459000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PSYCHOLOGY - WSU PSYCHOLOGY CLINIC",
            "address_2": "1845 FAIRMOUNT ST CAMPUS BOX 34",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67260",
            "telephone_number": "316-978-3170",
            "fax_number": "316-978-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF PSYCHOLOGY - WSU PSYCHOLOGY CLINIC",
            "address_2": "1845 FAIRMOUNT ST CAMPUS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67260",
            "telephone_number": "316-978-3170",
            "fax_number": "316-978-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSU PSYCHOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "FACULTY",
        "authorized_official_telephone_number": "316-978-3212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.