Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003937764 Individual Practitioner Male Practitioner

Matthew R Botkin , LCP

Psychologist • Shawnee, KS

Professional Overview & Biography Verified Profile Summary

Matthew Botkin, LCP is a registered healthcare professional specializing in Psychologist in Shawnee, KS. Practice services are available at 6440 NIEMAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6440 Nieman Rd

Shawnee, KS 662033326

Telephone 9139629955
Fax 9138261589
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Shawnee, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Shawnee, KS (630 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License KS 157

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100098010B (KS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Leann Smith , LSCSW

Social Worker - Clinical

NPI 1003936006
Betsy Hasselquist , RN

Registered Nurse

NPI 1023384583

Registered Nurse

NPI 1033472360

Licensed Master Social Worker

Ricky Froelich , LCPC

Counselor - Professional

NPI 1043226327

Licensed Clinical Professional Counselor

David Showalter , LSCSW

Social Worker - Clinical

NPI 1043434145
NPI 1043622475

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2010

Registered at 6440 NIEMAN RD, SHAWNEE, KS 662033326 (Tel: 9139629955)

📍
Updated Business Mailing Address May 11, 2010

Registered at 6000 LAMAR AVE, STE 130, MISSION, KS 662023234 (Tel: 9138312550)

👤
Provider Name / Credentials Updated May 11, 2010

Recorded as MATTHEW BOTKIN, LCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2010

Psychologist (License #157 in KS)

🟢
Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003937764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: May 11, 2010
Sole Proprietor: No

Mailing Address

6000 Lamar Ave, Ste 130

Mission, KS 662023234

Phone: 9138312550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.