Healthcare Provider Details

I. General information

NPI: 1336865856
Provider Name (Legal Business Name): AARON VAN GORP PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COLMERY-O'NEAL VAMC 2-A136 2200 SW GAGE BLVD
TOPEKA KS
66622-0001
US

IV. Provider business mailing address

2200 SW GAGE BLVD ATTN: BEHAVIORAL HEALTH
TOPEKA KS
66622-0001
US

V. Phone/Fax

Practice location:
  • Phone: 785-350-3111
  • Fax:
Mailing address:
  • Phone: 785-350-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number03176
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number03176
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: