Active NPI
The Parker Group, Inc.
- Clinical Psychologist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP-1045
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100370650A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- The Parker Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Wichita, KS
- NPI 1124241328
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.
-
- Clinical Psychologist
- Wichita, KS
- NPI 1427079284
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.