Kevin Warren, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1068 Issued in KS

Practice address

8911 E Orme St
Suite a
Wichita, KS 67207-2423

Phone

(316) 686-7884

Fax

(316) 686-0036

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavior Services and Therapy, Inc.Group PAC ID 0648644641, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Behavior Services & Therapy, Inc.

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1659555852
  Medicare reassignment Care Compare group NPD
• Cowley County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winfield, KS
  • NPI 1588653588
  NPD (past)
• Ralph Bharati, MD, PA

  • Addiction Psychiatry Physician
  • Wichita, KS
  • NPI 1932292547

  Clinical

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1649357906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KALISA WAY",
            "address_2": "STE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523508",
            "telephone_number": "888-948-6789",
            "fax_number": "877-345-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 E ORME ST",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072423",
            "telephone_number": "316-686-7884",
            "fax_number": "316-686-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100355960B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terin Brooke Warne, RN, BSN
• Warren R. Rensner, D.D.S., PA.
• Melyssa Warren-King
• Daniel E Warren, M.D.
• Jennifer B Warren, RPH
• Robert Kyle Warren, D.O.
• Tiffany Leigh Warren, APRN, FNP-C
• Timothy Dale Warren, D.C.
• Mary Ellen Warriner, RN
• Warrior Service Company LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.