Individual provider Active NPI

Kathryn Louise Tolle, PH.D.

  • Psychologist
  • Manhattan, KS
National Provider Identifier
1962742114
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1990 Issued in KS
Practice address
555 Poyntz Ave Ste 243
Manhattan, KS 66502-0129
Phone
(785) 537-6051
Fax
(844) 222-3691
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1990 KS Primary

Addresses

Primary practice location

555 Poyntz Ave Ste 243
Manhattan, KS 66502-0129

Mailing address

555 Poyntz Ave
Suite 243
Manhattan, KS 66502-0107
Phone (785) 537-6051

Other names 1

  • Dr. Kathryn Louise Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918003563 KS Practitioner - Clinical Psychologist 6103184205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Manhattan Mental Health Services, LLCGroup PAC ID 4880951664, 4 clinicians

Practice addresses (Care Compare)

555 Poyntz Ave
Suite 243
Manhattan, KS 66502-0129
Phone (785) 537-6051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Mental Health Services, LLC CurrentSince Jul 14, 2018 Accepting new patients

Locations

1623 Poyntz Ave
Manhattan, KS 66502
Phone (785) 369-9105

555 Poyntz Ave
Ste 243
Manhattan, KS 66502
Phone (785) 537-6051

Organizations & group practices 1

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": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1962742114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 POYNTZ AVE",
            "address_2": "SUITE 243",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665020107",
            "telephone_number": "785-537-6051",
            "fax_number": "844-222-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 POYNTZ AVE STE 243",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665020129",
            "telephone_number": "785-537-6051",
            "fax_number": "844-222-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLE",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BROWN",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.