Provider Demographics
NPI:1922065051
Name:PAPINEAU, WILLIAM E (PHD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:PAPINEAU
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 1:8100 E. 22ND ST. N.
Mailing Address - Street 2:BLDG. 100, STE 2
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-2388
Mailing Address - Country:US
Mailing Address - Phone:316-295-2703
Mailing Address - Fax:316-337-5481
Practice Address - Street 1:833 N WACO
Practice Address - Street 2:SUITE 200
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3939
Practice Address - Country:US
Practice Address - Phone:316-263-2351
Practice Address - Fax:316-263-3685
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS583103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100238100BMedicaid
KS004462OtherBCBS
KS004462Medicare ID - Type Unspecified
KS100238100BMedicaid