Active NPI
Anna Claire Gorham
- Clinical Psychologist
- Lawrence, KS
National Provider Identifier
1629990643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03556
- Practice address
- 1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082 - Phone
- (785) 371-4921
- Fax
- (888) 965-5147
- NPI assigned
- Jul 29, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 03556 | KS | Primary |
Addresses
Primary practice location
1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Mailing address
1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Phone (785) 371-4921
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime TMS LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Lawrence, KS
- NPI 1891219911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1629990643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 WAKARUSA DR STE 102",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472082",
"telephone_number": "785-371-4921",
"fax_number": "888-965-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 WAKARUSA DR STE 102",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472082",
"telephone_number": "785-371-4921",
"fax_number": "888-965-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORHAM",
"first_name": "ANNA CLAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-29",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "03556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.