Organization Active NPI

Flint Hills Neuropsychology, LLC

  • Clinical Psychologist
  • Manhattan, KS
National Provider Identifier
1881979052
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1994 Issued in KS
Legal business name
FLINT HILLS NEUROPSYCHOLOGY, LLC
Practice address
2505 Anderson Ave
Suite 101
Manhattan, KS 66502-2853
Phone
(785) 236-1180
Fax
(785) 789-4048
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Dr. Christine A Durrett, PHDNPI 1013160100
Title
Owner/Psychologist
Phone
(785) 236-1180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1994 KS Primary

Addresses

Primary practice location

2505 Anderson Ave
Suite 101
Manhattan, KS 66502-2853

Mailing address

2505 Anderson Ave
Suite 101
Manhattan, KS 66502-2853
Phone (785) 236-1180

Other names 1

  • Christine Durrett, PhD, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111122000472 KS Part B Supplier - Clinic/Group Practice 3375717606 Receives reassigned benefits from 3 practitioners
Practice locations: Manhattan, KS

National Provider Directory

National Provider Directory

Locations

512 Poyntz Ave
Ste 110
Manhattan, KS 66502
Phone (785) 236-1180

2505 Anderson Ave
Ste 101
Manhattan, KS 66502
Phone (785) 236-1180

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1881979052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANDERSON AVE",
            "address_2": "SUITE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022853",
            "telephone_number": "785-236-1180",
            "fax_number": "785-789-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 ANDERSON AVE",
            "address_2": "SUITE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022853",
            "telephone_number": "785-236-1180",
            "fax_number": "785-789-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT HILLS NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "DURRETT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "785-236-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christine Durrett, PhD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.