Active NPI
Mitchell R. Flesher, PH.D.
- Clinical Psychologist
- Lenexa, KS
National Provider Identifier
1922303619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP 1223
- Practice address
- 8629 Bluejacket St
Suite 100
Lenexa, KS 66214-1604 - Phone
- (913) 220-3282
- NPI assigned
- Jan 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP 1223 | KS | Primary |
Addresses
Primary practice location
8629 Bluejacket St
Suite 100
Lenexa, KS 66214-1604
Mailing address
8629 Bluejacket St
Suite 100
Lenexa, KS 66214-1604
Phone (913) 220-3282
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 1223 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T Bopp PC | Clinical | Past | Accepting new patients |
| BPH LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1922303619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8629 BLUEJACKET ST",
"address_2": "SUITE 100",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141604",
"telephone_number": "913-220-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8629 BLUEJACKET ST",
"address_2": "SUITE 100",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141604",
"telephone_number": "913-220-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLESHER",
"first_name": "MITCHELL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-11",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "LP 1223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.