MATTHEW R BOTKIN LCP
NPI 1003937764
Psychologist in Shawnee, KS

Active since April 02, 2007
6440 NIEMAN RD, SHAWNEE, KS 66203(913) 962-9955(913) 826-1589 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew R Botkin Lcp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW R BOTKIN LCP (NPI 1003937764) is an individual psychologist in Shawnee, Kansas, licensed in Kansas (157) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1003937764
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHEW R BOTKINCredential: LCP
Location Address6440 NIEMAN RDShawnee, KS 66203-3326
Mailing Address6000 Lamar Ave, Ste 130Mission, KS 66202-3234 · (913) 831-2550 · Fax (913) 826-1589
Fax(913) 826-1589
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateMay 11, 2010
NPI 1003937764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in KS · 157
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6440 NIEMAN RD, Shawnee, KS 66203

Other Identifiers 1

Medicaid100098010BKS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6440 NIEMAN RD
SHAWNEE, KS 66203
Psychologist (Cognitive & Behavioral)
6440 NIEMAN RD
SHAWNEE, KS 66203
Registered Nurse
6440 NIEMAN RD
SHAWNEE, KS 66203
Social Worker
6440 NIEMAN RD
SHAWNEE, KS 66203
Social Worker
6440 NIEMAN RD
SHAWNEE, KS 66203
Social Worker
6440 NIEMAN RD
SHAWNEE, KS 66203
Registered Nurse
6440 NIEMAN RD
SHAWNEE, KS 66203
Social Worker
6440 NIEMAN RD
SHAWNEE, KS 66203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Botkin's NPI number?

The NPI number for Matthew Botkin is 1003937764. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Matthew Botkin located?

Matthew Botkin practices at 6440 Nieman Rd, Shawnee, KS 66203. The listed phone number is (913) 962-9955.

What is Matthew Botkin's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Matthew Botkin was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.