Healthcare Provider Details

I. General information

NPI: 1437214665
Provider Name (Legal Business Name): S. CHRISTINE HILLILA PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE HILLILA PH.D.

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 SOMERSET DR SUITE 246
PRAIRIE VILLAGE KS
66208-5217
US

IV. Provider business mailing address

4200 SOMERSET DR SUITE 246
PRAIRIE VILLAGE KS
66208-5217
US

V. Phone/Fax

Practice location:
  • Phone: 913-649-8707
  • Fax: 913-649-8714
Mailing address:
  • Phone: 913-649-8707
  • Fax: 913-649-8714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0617
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0617
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number0617
License Number StateKS
# 4
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number0617
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number0617
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: