Provider Demographics
NPI:1881190320
Name:INSIGHT PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:INSIGHT PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST; OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GUELKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:785-320-6425
Mailing Address - Street 1:426 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6136
Mailing Address - Country:US
Mailing Address - Phone:785-320-6425
Mailing Address - Fax:
Practice Address - Street 1:426 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6136
Practice Address - Country:US
Practice Address - Phone:785-320-6425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
KS2465103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty