NPIMap

Organization Active NPI

Autism, Behavior, and Psychological Services

  • Psychologist
  • Leavenworth, KS
National Provider Identifier
1609274430
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
932 Issued in KS
Legal business name
AUTISM, BEHAVIOR, AND PSYCHOLOGICAL SERVICES
Practice address
400 Shawnee St
Leavenworth, KS 66048-1955
Phone
(913) 206-8154
Fax
(913) 608-5756
NPI assigned
Dec 10, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Dr. Lisa Dyan Walsh, PHDNPI 1962783092
Title
Owner/Psychologist
Phone
(913) 206-8154

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 932 KS Primary
Behavior Analyst 103K00000X 1031397 KS

Addresses

Primary practice location

400 Shawnee St
Leavenworth, KS 66048-1955

Mailing address

13115 W 74TH St
Shawnee, KS 66216-4412
Phone (913) 206-8154

Other names 1

  • ABPS Other name

National Provider Directory

National Provider Directory

Locations

400 Shawnee St
Leavenworth, KS 66048
Phone (913) 206-8154

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": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1609274430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 W 74TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662164412",
            "telephone_number": "913-206-8154",
            "fax_number": "913-608-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHAWNEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481955",
            "telephone_number": "913-206-8154",
            "fax_number": "913-608-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM, BEHAVIOR, AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DYAN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "913-206-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "932",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "1031397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.