Psyche and Soul, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHE AND SOUL, LLC

Practice address

650 N Carriage Pkwy Ste 125
Wichita, KS 67208-4513

Phone

(316) 927-3010

NPI assigned

Jul 11, 2021

Last updated

Oct 27, 2021By 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. Jeremy Crosby, PSY DNPI 1003859042

Title

Psychologist

Phone

(316) 253-5107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

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.

• Jeremy Paul Crosby, PSY.D.

  • Clinical Psychologist
  • Wichita, KS
  • NPI 1003859042
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1639741648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N CARRIAGE PKWY STE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N CARRIAGE PKWY STE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084513",
            "telephone_number": "316-927-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE AND SOUL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "316-253-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Molly Loren Pruit
• Lou Ann Prusa, LCMFT
• John C Pryor, LCPC, LPC
• Psych Credentialing
• Psych-Aprn, LLC
• Psyche Renovations, LLC
• Anahi Finkbiner Puebla
• Amy Renee Pugh, LSCSW
• Angela M Pulaski, RPT
• Jackie Cheray Pulaski, LCMFT

• Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.