Organization Active NPI

Teakwood Psychological Resources, P.a.

  • Specialist
  • Lawrence, KS
National Provider Identifier
1609098151
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0872 Issued in KS
Legal business name
TEAKWOOD PSYCHOLOGICAL RESOURCES, P.A.
Practice address
2201 W 25TH Street
Suite 0
Lawrence, KS 66047
Phone
(785) 841-6446
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Dr. Cynthia L Schnacke, PH.D.NPI 1043310089
Title
Partner
Phone
(785) 841-6446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0872 KS Primary

Addresses

Primary practice location

2201 W 25TH Street
Suite 0
Lawrence, KS 66047

Mailing address

1415 Jayhawk Blvd Fraser 340
University of Kansas
Lawrence, KS 66045
Phone (785) 864-4121

Other names 1

  • none Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419001098 KS Part B Supplier - Clinic/Group Practice 0446298681 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

2201 W 25th St
Ste O
Lawrence, KS 66047
Phone (785) 841-6446

1415 Jayhawk Blvd
#340
Lawrence, KS 66045
Phone (785) 864-4121

2201 W 25th St
Ste 0
Lawrence, KS 66047
Phone (785) 841-6446

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1609098151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 JAYHAWK BLVD FRASER 340",
            "address_2": "UNIVERSITY OF KANSAS",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66045",
            "telephone_number": "785-864-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W 25TH STREET",
            "address_2": "SUITE 0",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66047",
            "telephone_number": "785-841-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAKWOOD PSYCHOLOGICAL RESOURCES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "SCHNACKE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "785-841-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "0872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.