Sarah Beth Kirk, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1052 Issued in KS

Practice address

1415 Jayhawk Blvd
Ku Psychological Clinic, Fraser Hall
Lawrence, KS 66045-7556

Phone

(785) 864-9853

Fax

(785) 864-5696

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801827183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 E 350TH RD",
            "city": "LECOMPTON",
            "state": "KS",
            "postal_code": "660504040",
            "telephone_number": "785-864-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 JAYHAWK BLVD",
            "address_2": "KU PSYCHOLOGICAL CLINIC, FRASER HALL",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660457556",
            "telephone_number": "785-864-9853",
            "fax_number": "785-864-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1052",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "1939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann King, PT
• Makini Lateefah King, M.A.
• Teresa Moeller King, MD
• Eden Kingery
• George Kircher
• Elizabeth Kish
• Marc D. Kissinger, D.C.
• Shannon Kjellenberg
• Catherine Klaske, PTA
• Madison Klepzig, LPC

• Clinical Psychologist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinical Psychologist in Kansas

• 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.