Provider Demographics
NPI:1518183391
Name:CHRISTIAN PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:CHRISTIAN PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:KOBES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,
Authorized Official - Phone:913-345-0033
Mailing Address - Street 1:7800 W 110TH ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2304
Mailing Address - Country:US
Mailing Address - Phone:913-345-0033
Mailing Address - Fax:
Practice Address - Street 1:7800 W 110TH ST
Practice Address - Street 2:SUITE 112
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2304
Practice Address - Country:US
Practice Address - Phone:913-345-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS878103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty