Active NPI
Daniel Lawrence Gollub, LCP
- Psychologist
- Manhattan, KS
National Provider Identifier
1609192616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LCP113
- Practice address
- 2001 Claflin Rd
Manhattan, KS 66502-3415 - Phone
- (785) 587-4300
- NPI assigned
- Apr 15, 2010
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LCP113 | KS | Primary |
Addresses
Primary practice location
2001 Claflin Rd
Manhattan, KS 66502-3415
Mailing address
208 E 7TH St
Hays, KS 67601-4139
Phone (785) 628-2871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCP113 | KS | MD | Psychologist |
| 113 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1609192616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 E 7TH ST",
"city": "HAYS",
"state": "KS",
"postal_code": "676014139",
"telephone_number": "785-628-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CLAFLIN RD",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665023415",
"telephone_number": "785-587-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLUB",
"first_name": "DANIEL",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "LCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "LCP113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.