MOLLY JOHANSEN PETRAK MA
NPI 1134737646
Psychologist in Lawrence, KS

Active since July 21, 2020
200 MAINE ST STE A, LAWRENCE, KS 66044(785) 843-9192 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2023, Jul 21, 2020 (2 updates tracked since 2020).

About Molly Johansen Petrak Ma NPPES

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

MOLLY JOHANSEN PETRAK MA (NPI 1134737646) is an individual psychologist in Lawrence, Kansas, licensed in Kansas (03179) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1134737646
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMOLLY JOHANSEN PETRAKCredential: MA
Location Address200 MAINE ST STE ALawrence, KS 66044-1396
Mailing Address200 Maine St Ste ALawrence, KS 66044-1396
Sole ProprietorNo
Enumeration DateJuly 21, 2020
Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
NPI 1134737646 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 · 03179
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.
200 MAINE ST STE A, Lawrence, KS 66044

Other Names 1

Former Name (1)Molly Johansen Ma

Accepted Insurance

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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
200 MAINE ST STE A
LAWRENCE, KS 66044
Social Worker (Clinical)
200 MAINE ST STE A
LAWRENCE, KS 66044
Social Worker
200 MAINE ST STE A
LAWRENCE, KS 66044
Psychologist (Counseling)
200 MAINE ST STE A
LAWRENCE, KS 66044
Social Worker
200 MAINE ST STE A
LAWRENCE, KS 66044
Social Worker (Clinical)
200 MAINE ST STE A
LAWRENCE, KS 66044
Counselor (Mental Health)
200 MAINE ST STE A
LAWRENCE, KS 66044
Social Worker
200 MAINE ST STE A
LAWRENCE, KS 66044

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 Molly Johansen Petrak's NPI number?

The NPI number for Molly Johansen Petrak is 1134737646. It was assigned to this individual provider in the NPPES registry on July 21, 2020. The provider is also known as Molly Johansen Ma.

Where is Molly Johansen Petrak located?

Molly Johansen Petrak practices at 200 Maine St Ste A, Lawrence, KS 66044. The listed phone number is (785) 843-9192.

What is Molly Johansen Petrak's specialty?

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

What insurance does Molly Johansen Petrak accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Molly Johansen Petrak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Molly Johansen Petrak was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.