Organization Active NPI

The Parker Group, Inc.

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1689998080
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP-1045 Issued in KS
Legal business name
THE PARKER GROUP, INC.
Practice address
112 E 2ND St
Wichita, KS 67202-2005
Phone
(316) 250-8436
Fax
(316) 260-9023
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Randy Lance Parker, PH.D.NPI 1427079284
Title
President/Licensed Psychologist
Phone
(316) 250-8436

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP-1045 KS Primary

Addresses

Primary practice location

112 E 2ND St
Wichita, KS 67202-2005

Mailing address

112 E 2ND St
Wichita, KS 67202-2005
Phone (316) 250-8436

Other identifiers 1

IdentifierTypeStateIssuer
100370650AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171128003562 KS Part B Supplier - Clinic/Group Practice 7517224660 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory
Tax ID family
The Parker Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8629 W Central Ave
Ste 3
Wichita, KS 67212
Phone (316) 250-8436

112 E 2nd St N
Wichita, KS 67202
Phone (316) 250-8436

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1689998080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 2ND ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022005",
            "telephone_number": "316-250-8436",
            "fax_number": "316-260-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 2ND ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022005",
            "telephone_number": "316-250-8436",
            "fax_number": "316-260-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PARKER GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "316-250-8436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP-1045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100370650A",
            "state": "KS"
        }
    ],
    "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 Mar 15, 2010; 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.