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Dr. Jay Justin Middleton , PhD

Psychologist β€’ Pittsburg, KS

Active NPI 1164918298 Individual Practitioner Male Practitioner
Practice location in NPPES

3011 N Michigan St
Pittsburg, KS 667622546

Call 6202319873 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3011 N Michigan St

Pittsburg, KS 667622546

Telephone 6202319873
Organization at the Same NPPES Address or Phone
Community Health Center Of Southeast Kansas Inc Facility NPI 1669474425

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pittsburg and Kansas

15 active clinicians are listed under Psychologist with a practice address in Pittsburg, KS (600 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pittsburg

0% of these 15 clinicians have the CMS telehealth indicator.

6.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES KS 2597

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
Dr. Dawny Barnhart , DO

Psychiatry & Neurology - Psychiatry

NPI 1639442437

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Bean , DO

Family Medicine

NPI 1962404707

Doctor of Osteopathic Medicine (D.O.)

Jennifer Bin , APRN

Nurse Practitioner - Family

NPI 1205223013

Advanced Practice Registered Nurse

Brenda Brennan , APRN

Nurse Practitioner - Community Health

NPI 1619979440

Advanced Practice Registered Nurse

Ashleigh Cardwell , APRN

Nurse Practitioner - Family

NPI 1922862499

Advanced Practice Registered Nurse

Michele Carey , APRN

Nurse Practitioner - Family

NPI 1295104867

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address June 10, 2020

Registered at 3011 N MICHIGAN ST, PITTSBURG, KS 667622546

βœ…
NPI Profile Active July 01, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 01, 2018

Registered at 3011 N MICHIGAN ST, PITTSBURG, KS 667622546 (Tel: 6202319873)

πŸ“
Business Mailing Address (Initial Record) July 01, 2018

Registered at 1300 E MARLATT AVE LOT 405, MANHATTAN, KS 665024895 (Tel: 9139679386)

πŸ‘€
Provider Name / Credentials (Initial Record) July 01, 2018

Recorded as JAY MIDDLETON, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2018

Psychologist (license number reported to NPPES: KS 2597)

🟒
Initial NPI Registration & Enumeration July 01, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164918298
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2018
Last Update: June 10, 2020
Sole Proprietor: Yes

Mailing Address

3011 N Michigan St

Pittsburg, KS 667622546

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.