Catherine Baggett, PSY.D. – Clinical Psychologist

Key facts

NPI: 1609185487
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: 2703 (KS)
Practice address: 7807 E Funston St
Wichita, KS 67207-3123
Phone: (316) 636-1188
NPI assigned: Sep 28, 2010
Sex: Female
Sole proprietor: Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2703	KS	MD	Clinical Psychologist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	2703	KS	Yes

Addresses

Primary practice location

7807 E Funston St
Wichita, KS 67207-3123

Mailing address

22D Medical Group
57950 Leavenworth St
McConnell Afb, KS 67221
Phone (316) 759-5095

Other practice location 1

22d Medical Group
57950 Leavenworth St
McConnell AFB, KS 67221
Phone (316) 759-5095

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 3, 2022.

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1609185487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22D MEDICAL GROUP",
            "address_2": "57950 LEAVENWORTH ST",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "67221",
            "telephone_number": "316-759-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073123",
            "telephone_number": "316-636-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22d Medical Group",
            "address_2": "57950 Leavenworth St",
            "address_purpose": "LOCATION",
            "city": "McConnell AFB",
            "state": "KS",
            "postal_code": "67221",
            "country_code": "US",
            "telephone_number": "316-759-5095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGGETT",
        "first_name": "CATHERINE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

All providers in Wichita, KS · Clinical Psychologist in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.