Kansas Psychiatric and Wellness Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KANSAS PSYCHIATRIC AND WELLNESS SERVICES

Doing business as

Kpaws
Kansas Psychiatric and Wellness Services

Practice address

205 S 4TH St Ste B12
Manhattan, KS 66502-6166

Phone

(316) 691-8504

Fax

(949) 863-8565

NPI assigned

Oct 15, 2021

Last updated

Apr 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger Kirkwood, APRNNPI 1063728764

Title

Owner

Phone

(316) 691-8504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• KPAWS Doing business as
• Kansas Psychiatric and Wellness Services Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Lee Kirkwood, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Manhattan, KS
  • NPI 1063728764
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1912660028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S 4TH ST STE B12",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026166",
            "telephone_number": "316-691-8504",
            "fax_number": "949-863-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S 4TH ST STE B12",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026166",
            "telephone_number": "316-691-8504",
            "fax_number": "949-863-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5847 SW 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666142462",
            "country_code": "US",
            "telephone_number": "785-273-7292",
            "fax_number": "785-273-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANSAS PSYCHIATRIC AND WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-691-8504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS LICENSE",
            "identifier": "53-75194",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPAWS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KPAWS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kansas Psychiatric and Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin A. Kahler, PSY.D.
• Jessica Kampfe, LSCWW
• Karen Kann, LMSW
• Kansas CVS Pharmacy LLC (CVS Pharmacy #16942)
• Kansas Dialysis Services LC
• Kansas Regenerative Medicine Center
• Kansas State Univeristy
• Kansas State University (KSU Speech & Hearing Center)
• Kansas State University (Lafene Health Center)
• Kansas State University (KSU Audiology Department)

• Psychiatric/Mental Health Nurse Practitioner in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.