Provider Demographics
NPI:1518265685
Name:WILLIAM E. PAPINEAU, PH.D., P.A.
Entity Type:Organization
Organization Name:WILLIAM E. PAPINEAU, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAPINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:316-263-2351
Mailing Address - Street 1:833 N WACO AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3989
Mailing Address - Country:US
Mailing Address - Phone:316-263-2351
Mailing Address - Fax:316-263-3685
Practice Address - Street 1:833 N WACO AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3989
Practice Address - Country:US
Practice Address - Phone:316-263-2351
Practice Address - Fax:316-263-3685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS583103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100238100BMedicaid
KS004462OtherBC/BS
R75922Medicare UPIN
KS100238100BMedicaid