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NPI 1699626523

NPI 1699626523 : JOHNSON & MCGILL PSYCHOLOGY GROUP LLC : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1699626523
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHNSON & MCGILL PSYCHOLOGY GROUP LLC 
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Dates
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    Enumeration Date     |    02/06/2026
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    246 N OLIVER AVE 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67208-4032
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    Country              |    US
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    Telephone            |    316-651-0424
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2530 N HOOVER RD 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67205-1030
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    Country              |    US
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    Telephone            |    316-651-0424
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. KASSY  JOHNSON 
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    Credential           |    PH.D.
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    Telephone            |    316-651-0424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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