OTHMER PSYCHIATRIC CENTER (NPI# 1134310154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134310154 |
| Entity Type | Organization |
| Organization Name | OTHMER PSYCHIATRIC CENTER |
| Other Organization Name | PICTURE HILLS PSYCHIATRIC CENTER |
| Practice Address |
5709 Nw 64th Ter Kansas City MO 64151-2382 |
| Practice Telephone | 8167465555 |
| Practice Fax Number | 8167465996 |
| Mailing Telephone | 8167465555 |
| Mailing Fax Number | 8167465996 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | MRS. SIEGLINDE C OTHMER (OWNER) |
| Authorized Official Telephone | 8167465555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1473 | MO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
003750 | MO | Behavioral Health & Social Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2005021811 | MO | Allopathic & Osteopathic Physicians |
| N | 364S00000X | Clinical Nurse Specialist | 2005027490 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33862 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 497729418 | 05 | |
| MO | 202302113 | 05 | |
| MO | CHILD AND ADOLESCENT PSYC | MD-063-511L | 01 |
| MO | STATE OF MO MD LICENSE | 2005021811 | 01 |
| Other Name | Type Code |
|---|---|
| Picture Hills Psychiatric Center | Other Name - Individual/Organization |
| Street Address |
5709 NW 64TH TER |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64151-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194734426 | Ekkehard Othmer | Psychologist | 5709 Nw 64th Ter, Kansas City, MO 64151-2382 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033813 | Jonene Jaynes | Technician | 5002 Nw Martin Dr, Platte County, MO 64151 | 2019-10-01 |
| 1033636956 | Autism Support Now, LLC | Behavioral Analyst | 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 | 2017-08-23 |
| 1699205211 | Alma C Batchelor | Behavior Technician | 5863 Nw 72nd Street, Kansas City, MO 64151 | 2017-06-15 |
| 1588015291 | Freedom Care, LLC | Home Health Aide | 5727 N. Ames Ave, Kansas, MO 64151 | 2016-06-23 |
| 1164701827 | Richard Alan Pelaar | Counselor | 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 | 2011-08-12 |
| 1013238708 | Kodi Lee Watson | Dietitian, Registered | 8301 N St. Clair Ave, Kansas City, MO 64151 | 2010-06-16 |
| 1821296294 | Andy Mackey | Durable Medical Equipment & Medical Supplies | 5100 Nw Waukomis, Northmoor, MO 64151 | 2007-07-06 |
| 1629138185 | George Thomas Mcneish II | Dentist | 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 | 2006-12-12 |
| 1649345091 | Comfort Plus Shoes & Footcare | Durable Medical Equipment & Medical Supplies | 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 | 2006-11-21 |
| 1457456931 | Steve Bull Cain | Dentist | 7120 Nw Prairie View Rd, Kansas City, MO 64151 | 2006-09-13 |
| Find all providers in zip 64151 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209124 | Restorative Brain Clinic, Inc | Psychiatry & Neurology | 1010 Carondelet Dr Ste 112, Kansas City, MO 64114-4821 | 2018-06-21 |
| 1114345840 | Carl Dubose | Psychiatry & Neurology | 4400 Broadway Ste 407, Kansas City, MO 64111 | 2014-03-31 |
| 1932460383 | Amanda L Klass | Psychiatry & Neurology | 3901 Rainbow Blvd., Mailstop 4015, University of Kansas Medical Center-psychiatry, Kansas City, KS 66160 | 2012-06-01 |
| 1700176757 | Kayla Gertsema | Psychiatry & Neurology | 10918 Elm Ave Ste 102, Kansas City, MO 64134-2284 | 2011-04-11 |
| 1992997043 | Myo Inc | Psychiatry & Neurology | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 | 2007-08-13 |
| 1265631527 | Micaela Patricia Wexler | Psychiatry & Neurology | 4203 Booth St, Kansas City, KS 66103-3116 | 2007-07-16 |
| 1477632982 | Charles R Lake | Psychiatry & Neurology | 3901rainbow Blvd, 4070 Delp, Kansas City, KS 66160 | 2006-11-03 |
| 1699863019 | James Ray Trahan | Psychiatry & Neurology | 211 Ne 54th St Ste 201, Kansas City, MO 64118-4330 | 2006-10-11 |
| 1720174139 | Teresa N/a Moscovich | Psychiatry & Neurology | 4801 E . Linwood Street, Kansas City, MO 64128 | 2006-10-04 |
| 1023109246 | Francis Xavier Barth | Psychiatry & Neurology | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2006-09-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64151 |
Please comment or provide details below to improve the information on OTHMER PSYCHIATRIC CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.