KIDSTLC MEDICAL SERVICS, LLC
NPI 1912391665
Psychologist - Prescribing (Medical) in Olathe, KS

Q: What is Kidstlc Medical Servics, LLC's NPI number?

The NPI number for Kidstlc Medical Servics, LLC is 1912391665. It was assigned to this organization in the NPPES registry on March 20, 2015.

Q: What is Kidstlc Medical Servics, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since March 20, 2015

480 S ROGERS RD, OLATHE, KS 66062(913) 324-3636(913) 324-3894 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kidstlc Medical Servics, Llc NPPES

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

KIDSTLC MEDICAL SERVICS, LLC (NPI 1912391665) is a healthcare organization registered as a prescribing (medical) in Olathe, Kansas and active in the NPI registry since March 2015. The organization lists Gordon Docking, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912391665

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameKIDSTLC MEDICAL SERVICS, LLC

Location Address480 S ROGERS RDOlathe, KS 66062-1706

Mailing Address480 S Rogers RdOlathe, KS 66062-1706 · (913) 324-3636 · Fax (913) 324-3894

Phone(913) 324-3636

Fax(913) 324-3894

Organization SubpartYesParent: Kidstlc, Inc

Authorized OfficialGordon DockingCeo · (913) 324-3636

Enumeration DateMarch 20, 2015

✔ NPI 1912391665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

480 S ROGERS RD, Olathe, KS 66062

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

LESLIE BERGER LPC

Counselor (Professional)