Matthew R Botkin is a Psychologist in Shawnee, Kansas. Matthew R Botkin practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Matthew R Botkin is 1003937764. The last update date is 2010-05-11.
Matthew R Botkin's current location address is 6440 Nieman Rd, Shawnee, Kansas. You can contact this provider via phone number 9139629955 and fax number 9138261589. The mailing address for Matthew R Botkin is 6440 Nieman Rd, Shawnee, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew R Botkin |
|---|---|
| Address | 6440 Nieman Rd, Shawnee, Kansas |
| Phone Number | 9139629955 |
| Fax Number | 9138261589 |
| Sole Proprietor | N |
| Credentials | LCP |
NPI Number Detail
| NPI Number | 1003937764 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2010-05-11 |
Provider Mailing Address Detail
| Address | 6440 Nieman Rd |
|---|---|
| City | Shawnee |
| State | Kansas (KS) |
| Post Code | 662033326 |
| Phone Number | 9139629955 |
| Fax Number | 9138261589 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 157 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100098010B | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew R Botkin by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew R Botkin has been assigned the NPI (National Provider Identifier) 1003937764. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Matthew R Botkin is physically located?
The Matthew R Botkin is situated at the following address: 6440 Nieman Rd, Shawnee, KS 662033326.
What is the Matthew R Botkin's area of specialization and corresponding taxonomy classification?
The Matthew R Botkin's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Matthew R Botkin receive its 1003937764 assignment from the Centers for Medicare & Medicaid Services?
The Matthew R Botkin was assigned its 1003937764 by the Centers for Medicare & Medicaid Services on 2007-04-02.
As of what date was the information regarding Matthew R Botkin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew R Botkin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-05-11.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA