Active NPI
Grow Wild Therapy
- Clinical Psychologist
- Wichita, KS
National Provider Identifier
1619872819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- GROW WILD THERAPY
- Practice address
- 8100 E 22ND St N Ste D
Wichita, KS 67226-2350 - Phone
- (316) 634-4153
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Leigh Marvin, PHD
- Title
- Owner
- Phone
- (316) 204-0741
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
8100 E 22ND St N Ste D
Wichita, KS 67226-2350
Mailing address
401 N Belmont Ave
Wichita, KS 67208-3810
Phone (316) 203-0741
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.
-
- Clinical Psychologist
- Wichita, KS
- NPI 1386902237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1619872819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N BELMONT AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083810",
"telephone_number": "316-203-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 E 22ND ST N STE D",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262350",
"telephone_number": "316-634-4153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROW WILD THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "MARVIN",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-204-0741",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"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 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.