Active NPI
Heidi A Oliver, PSYD
- Clinical Psychologist
- Kechi, KS
National Provider Identifier
1790027563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP-2657
- Practice address
- 2432 E Quivira CT
Kechi, KS 67067-8909 - Phone
- (301) 800-5250
- NPI assigned
- Mar 20, 2013
- Last updated
- Dec 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP-2657 | KS | Primary |
Addresses
Primary practice location
2432 E Quivira CT
Kechi, KS 67067-8909
Mailing address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone (316) 685-2221
Other practice location 1
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone (316) 685-2221
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-2657 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1790027563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607",
"telephone_number": "316-685-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 E QUIVIRA CT",
"city": "KECHI",
"state": "KS",
"postal_code": "670678909",
"telephone_number": "301-800-5250"
}
],
"practiceLocations": [
{
"address_1": "5500 E Kellogg Dr",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672181607",
"country_code": "US",
"telephone_number": "316-685-2221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVER",
"first_name": "HEIDI",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "LP-2657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kechi, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.