Individual provider Active NPI

Darwin Dorr, LP

  • Cognitive & Behavioral Psychologist
  • Wichita, KS
National Provider Identifier
1790767291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
0842 Issued in KS
Practice address
9333 East 21St St, North
Wichita, KS 67206-2927
Phone
(316) 634-4700
Fax
(316) 634-4770
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 0842 KS Primary

Addresses

Primary practice location

9333 East 21St St, North
Wichita, KS 67206-2927

Mailing address

9333 East 21St St, North
Wichita, KS 67206-2927
Phone (316) 634-4700

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

LicenseStateTypeSpecialty
0842KSMDCognitive & Behavioral Psychologist
842KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie View, Inc. Past Accepting new patients
Prairie View, Inc. PastSince Aug 1, 1996 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790767291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 EAST 21ST ST, NORTH",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062927",
            "telephone_number": "316-634-4700",
            "fax_number": "316-634-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 EAST 21ST ST, NORTH",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062927",
            "telephone_number": "316-634-4700",
            "fax_number": "316-634-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORR",
        "first_name": "DARWIN",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": "0842",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.