Active NPI
Chris Ebberwein PH.D., P.a.
- Counseling Psychologist
- Wichita, KS
National Provider Identifier
1659594653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1136
- Legal business name
- CHRIS EBBERWEIN PH.D., P.A.
- Practice address
- 10222 W Central Ave Ste 202
Wichita, KS 67212-4613 - Phone
- (316) 773-9525
- Fax
- (316) 773-2012
- NPI assigned
- Apr 10, 2007
- 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
- Dr. Christopher A Ebberwein, PH.D.
- Title
- Licensed Psychologist
- Phone
- (316) 773-9525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1136 | KS | Primary |
Addresses
Primary practice location
10222 W Central Ave Ste 202
Wichita, KS 67212-4613
Mailing address
10222 W Central Ave Ste 202
Wichita, KS 67212-4613
Phone (316) 773-9525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Wichita, KS
- NPI 1255443651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1659594653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10222 W CENTRAL AVE STE 202",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124613",
"telephone_number": "316-773-9525",
"fax_number": "316-773-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10222 W CENTRAL AVE STE 202",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124613",
"telephone_number": "316-773-9525",
"fax_number": "316-773-2012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIS EBBERWEIN PH.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "EBBERWEIN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "316-773-9525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "KS",
"license": "1136",
"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 Jul 3, 2024; 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.