WICHITA STATE UNIVERSITY
NPI 1003225947
Community/Behavioral Health in Wichita, KS

NPI Status: Active since August 05, 2014

Contact Information

1845 FAIRMOUNT BOX 91
WICHITA, KS
ZIP 67260
Phone: (502) 821-7904

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 17D0671176
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 08-31-2026

About WICHITA STATE UNIVERSITY

This page provides the complete NPI Profile along with additional information for Wichita State University, a provider established in Wichita, Kansas operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1003225947 assigned on August 2014. The practitioner's primary taxonomy code is 251S00000X with license number 0914 (KY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Jason Douglas Beyer Ma (Psychology Intern)

NPI
1003225947
Provider Name
WICHITA STATE UNIVERSITY
Entity Type
Organization
Location Address
1845 FAIRMOUNT BOX 91 WICHITA, KS 67260
Location Phone
(502) 821-7904
Mailing Address
1845 FAIRMOUNT BOX 91 WICHITA, KS 67260
Mailing Phone
(502) 821-7904
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2014
Last Update Date
08-05-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
0914
License State
KY
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JASON DOUGLAS BEYER MA

Authorized Official Title
PSYCHOLOGY INTERN
Authorized Official Phone
(502) 821-7904

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D0671176
Facility Type
School/Student Health Service
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DELANE H. VAUGHN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Wichita State University in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for WICHITA STATE UNIVERSITY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003225947
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003421098
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 4 + 2 + 1 + 0 + 9 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1003225947 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003225947, enumerated in the NPI registry as an "organization" on August 05, 2014

The provider is located at 1845 Fairmount Box 91 Wichita, Ks 67260 and the phone number is (502) 821-7904

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider's CLIA number is 17D0671176 for a "school/student health service" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on August 05, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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