Individual provider Active NPI

Joy K Rannebeck, LCP

  • Clinical Psychologist
  • Lawrence, KS
National Provider Identifier
1861578577
Registry record updated May 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
147 LCP Issued in KS
Practice address
3109 W 27TH St
Lawrence, KS 66047-3207
Phone
(785) 766-5385
NPI assigned
Oct 27, 2006
Last updated
May 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 147 LCP KS Primary

Addresses

Primary practice location

3109 W 27TH St
Lawrence, KS 66047-3207

Mailing address

3109 W 27TH St
Lawrence, KS 66047-3207
Phone (785) 766-5385

Other identifiers 3

IdentifierTypeStateIssuer
100098080COtherKSWYANDOT CENTER SED WAIVER
100098080AMedicaidKS
1629159389OtherKSWYANDOT CENTER NPI

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

LicenseStateTypeSpecialty
147 LCPKSMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462060800000",
    "number": "1861578577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 W 27TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473207",
            "telephone_number": "785-766-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 W 27TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660473207",
            "telephone_number": "785-766-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANNEBECK",
        "first_name": "JOY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "147 LCP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYANDOT CENTER SED WAIVER",
            "identifier": "100098080C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098080A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYANDOT CENTER NPI",
            "identifier": "1629159389",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2016; 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.