Active NPI
Mary E Oehlert, PH.D.
- Psychologist
- Leavenworth, KS
National Provider Identifier
1699723346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 774
- Practice address
- 4101 S 4TH St Trafficway
Leavenworth, KS 66048-5055 - Phone
- (913) 682-2000
- Fax
- (913) 758-4267
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 774 | KS | Primary |
| Psychologist | 103T00000X | PY-01484 | MO |
Addresses
Primary practice location
4101 S 4TH St Trafficway
Leavenworth, KS 66048-5055
Mailing address
PO Box 84
Lansing, KS 66043-0084
Phone (816) 863-5294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 774 | KS | MD | Psychologist |
| PY-01484 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1699723346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84",
"city": "LANSING",
"state": "KS",
"postal_code": "660430084",
"telephone_number": "816-863-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 S 4TH ST TRAFFICWAY",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485055",
"telephone_number": "913-682-2000",
"fax_number": "913-758-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEHLERT",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "774",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PY-01484",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.