MEDICARE: KOEHN PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1396637914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOEHN PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	7530 N MERIDIAN RD
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-8927
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 W BROADWAY ST
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-2632
Country	:	US
Telephone Number	:	316-842-3136
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	TIFFANY DAWN KOEHN
Credential	:	APRN, PMHNP-BC
Telephone Number	:	316-842-3136

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	07/17/2025

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Directions to “KOEHN PSYCHIATRY LLC ” Practice Location

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