Active NPI
Jason R Malousek, PSYD, LP
- Psychologist
- Leavenworth, KS
National Provider Identifier
1750537031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2430
- Practice address
- 500 Limit St
Leavenworth, KS 66048-4435 - Phone
- (913) 758-9401
- NPI assigned
- Aug 18, 2008
- Last updated
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2430 | KS | Primary |
Addresses
Primary practice location
500 Limit St
Leavenworth, KS 66048-4435
Mailing address
6148 Floyd St
Overland Park, KS 66202-3114
Phone (913) 758-9401
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2430 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1750537031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6148 FLOYD ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662023114",
"telephone_number": "913-758-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LIMIT ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484435",
"telephone_number": "913-758-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOUSEK",
"first_name": "JASON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PSYD, LP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "2430",
"primary": true
}
],
"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 Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.