P.a.T.H. Clinic, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0718 Issued in KS

Legal business name

P.A.T.H. CLINIC, LLC

Practice address

9342 E Central Ave Ste D
Wichita, KS 67206-2555

Phone

(316) 269-5000

Fax

(316) 269-0404

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Georgia Denne

Title

Manager

Phone

(316) 269-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Beth Hartman McGilley, PH.D.

  • Clinical Psychologist
  • Wichita, KS
  • NPI 1376580100
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962562496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9342 E CENTRAL AVE STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062555",
            "telephone_number": "316-269-5000",
            "fax_number": "316-269-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9342 E CENTRAL AVE STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062555",
            "telephone_number": "316-269-5000",
            "fax_number": "316-269-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.A.T.H. CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "316-269-5000"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "0718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "066958",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwight Kahala Oxley III, M.D.
• Shannon Marie Oyewole, CRNA
• Dennis Onentia Oyieng'O, M.D.
• Mirriam Wanjiru Oyugi, NURSE PRACTITIONER
• Emily Ozbun, LCMFT
• Michelle Elisabeth Paakh, CPM
• James R Pace, O.D.
• Scott Pace, LCPC
• Brenden Richard Pacella, DO
• Tyler W Pacholski, LMFT

• Clinical Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.