Professional Renewal Center PA

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

PROFESSIONAL RENEWAL CENTER PA

Practice address

1201 Wakarusa Dr
Suite E200
Lawrence, KS 66049-4722

Phone

(785) 842-9772

Fax

(785) 842-5231

NPI assigned

Oct 14, 2008

Last updated

Oct 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Betsy Williams, PHD

Title

Clinical Director, Owner

Phone

(785) 842-9772

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Paula Sue Beckley, MSW

  • Clinical Social Worker
  • Lawrence, KS
  • NPI 1962514208
  NPD (past)
• Jeff A Lewis, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
  • NPI 1154518306
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1629220389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR",
            "address_2": "SUITE E200",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494722",
            "telephone_number": "785-842-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR",
            "address_2": "SUITE E200",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494722",
            "telephone_number": "785-842-9772",
            "fax_number": "785-842-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RENEWAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, OWNER",
        "authorized_official_telephone_number": "785-842-9772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Proctor
• Professional Comfort Care
• Professional Diagnostic Services, Inc (PDS Medical, Inc)
• Professional Eyecare Lawrence LLC
• Professional Eyecare Management Inc.
• Professional Sitters Home Health, Inc.
• Professional Sitters Home Health, Inc.
• Professional Treatment Services
• Professional Treatment Services, LLC
• Emily Prohaska, PHARM.D.

• Cognitive & Behavioral Psychologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Cognitive & Behavioral Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.