David D'Owen Barnum, PHD
Individual provider Active NPI Psychologist · Lawrence, KS
NPI 1891762191 · NPPES record last updated Dec 30, 2016
Key facts
- NPI
- 1891762191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 0570 (KS)
- Practice address
- 2619 W. 6TH St., Suite C
Lawrence, KS 66049 - Phone
- (785) 830-8299
- Fax
- (913) 682-4664
- NPI assigned
- Mar 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0570 | KS | MD | Psychologist |
| 1109 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Therapy Institute Midwest | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0570 | KS | Yes |
Addresses
Primary practice location
2619 W. 6TH St., Suite C
Lawrence, KS 66049
Mailing address
2619 W. 6TH St., Suite C
Lawrence, KS 66049
Phone (785) 830-8299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100117700A | Medicaid | KS |
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.