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Contact Information

FAMILY PSYCHOLOGICAL CENTER, P.A.
804 S OLIVER ST
WICHITA, KS67218-2329
 Phone: 316-685-9311
 Fax: 316-685-6101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FAMILY PSYCHOLOGICAL CENTER, P.A.

NPI # 1194785337
LBN Legal business name FAMILY PSYCHOLOGICAL CENTER, P.A.
Authorized official JEFFREY LANE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
KS License # 0165
KS License # 0391
KS License # 0626
KS License # 0683
KS License # 1034
KS License # 117
KS License # 5522
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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