Susan Wayne Krigel, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2105 Issued in KS

Practice address

4350 Shawnee Mission Pkwy
Suite 1100
Fairway, KS 66205-2528

Phone

(913) 945-7534

Fax

(913) 945-6644

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2013.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1922449578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 SHAWNEE MISSION PKWY",
            "address_2": "SUITE 1100",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662052528",
            "telephone_number": "913-945-7534",
            "fax_number": "913-945-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SHAWNEE MISSION PKWY",
            "address_2": "SUITE 1100",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662052528",
            "telephone_number": "913-945-7534",
            "fax_number": "913-945-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIGEL",
        "first_name": "SUSAN",
        "middle_name": "WAYNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2105",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "KS",
            "license": "2105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.