Provider Demographics
NPI:1063502904
Name:MAYHEW, STEVEN B (PHD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:MAYHEW
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W. 7TH. STREET
Mailing Address - Street 2:SUITE 100-A
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762
Mailing Address - Country:US
Mailing Address - Phone:620-231-7600
Mailing Address - Fax:620-231-7602
Practice Address - Street 1:200 E. CENTENNIAL DR.
Practice Address - Street 2:SUITE 13
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762
Practice Address - Country:US
Practice Address - Phone:620-231-1068
Practice Address - Fax:620-231-2792
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1276103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200309160AMedicaid
KS200309160AMedicaid
R02797Medicare UPIN
KS119853Medicare PIN