COTTON O'NEIL CLINIC RECOVABLE TRUST (NPI# 1245390251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245390251 |
| Entity Type | Organization |
| Organization Name | COTTON O'NEIL CLINIC RECOVABLE TRUST |
| Other Organization Name | COTTON O'NEIL BEHAVIORAL HEALTH |
| Practice Address |
3707 Sw 6th Ave Topeka KS 66606-2084 |
| Mailing Address |
901 Sw Garfield Ave Topeka KS 66606-1670 |
| Practice Telephone | 7852704600 |
| Practice Fax Number | 7852704601 |
| Mailing Telephone | 7853549591 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | MS. DEBRA YOCUM (VICE PRESIDENT) |
| Authorized Official Telephone | 7853549591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100217350D | 05 | |
| KS | PTAN | 110661 | 01 |
| Other Name | Type Code |
|---|---|
| COTTON O'NEIL BEHAVIORAL HEALTH | Doing Business As Name - Organization |
| Street Address |
3707 SW 6TH AVE |
| City | TOPEKA |
| State | KS |
| Zip Code | 66606-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568433456 | Deborah L Edelman-dolan | Social Worker | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2006-01-30 |
| 1689211617 | Nicole Sparks | Social Worker | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2019-12-10 |
| 1013558246 | Dan Komiya-fakhrai | Registered Nurse | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2019-09-29 |
| 1932767043 | Ashley D Patrick | Social Worker | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2019-06-04 |
| 1063970481 | Susan Holland | Social Worker | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2019-03-05 |
| 1528552668 | Shelly Dudley | Psychiatry & Neurology | 3707 Sw 6th Ave, Topeka, KS 66606 | 2018-06-21 |
| 1164921094 | Antonia Wanjiru Bishop | Nurse Practitioner | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2018-02-06 |
| 1215459078 | Mary Mitsui | Nurse Practitioner | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2017-07-13 |
| 1477008894 | Christine Douglas | Nurse Practitioner | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2016-08-16 |
| 1962871293 | Dana Meinhardt | Nurse Practitioner | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2015-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843198 | Ashley Biggs | Nurse Practitioner | 823 Sw Mulvane, Ste 200, Topeka, KS 66606 | 2019-10-21 |
| 1952969925 | Danielle Marie Spencer | Physician Assistant | 823 Sw Mulvane, Ste 330, Topeka, KS 66606 | 2019-06-04 |
| 1174084545 | Samantha Brummell | Social Worker | 3707 Sw 6th, Topeka, KS 66606 | 2019-03-28 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1497122139 | Andrew Q Etheridge | Case Manager/Care Coordinator | 325 Sw Frazier, Family Service & Guidance Center, Topeka, KS 66606 | 2015-08-28 |
| 1962817254 | Kelsie Maxwell | Clinic/Center | 1315 Sw 6th Ave Suite B, Topeka, KS 66606 | 2014-06-25 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1730501859 | Ryan Kemp-pappan | Counselor | Valeo Behavioral Health Care, 330 Sw Oakley Ave, Topeka, KS 66606 | 2014-01-08 |
| 1750710935 | Dia L Orear | Nurse Practitioner | 1700 Sw 7th Street, 2nd Floor, Topeka, KS 66606 | 2013-11-07 |
| 1609174523 | Elizabeth Husted | Community Health Worker | 5301 Sw 7th St., Topeka, KS 66606 | 2011-03-01 |
| Find all providers in zip 66606 | ||||
| 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 |
|---|---|---|---|---|
| 1376181149 | Breakaway, LLC | Psychiatry & Neurology | 2023 Sw Gage Blvd, Topeka, KS 66604-3339 | 2019-12-12 |
| 1538505466 | Peter Charles Schram | Psychiatry & Neurology | 7300 Sw Wesley Cir, #5, Topeka, KS 66614-6081 | 2013-05-19 |
| 1811136849 | Irving Kitchner | Psychiatry & Neurology | 6632 Sw Gisbourne Ct, Topeka, KS 66614-4455 | 2009-02-15 |
| 1750408274 | Gilbert Roland Parks | Psychiatry & Neurology | 629 Se Qunicy, Suite 205, Topeka, KS 66603 | 2007-03-22 |
| 1225166572 | Dan P. Northway | Psychiatry & Neurology | 2909 Sw Maupin Ln, Topeka, KS 66614-5335 | 2007-03-01 |
| 1316024763 | Cornelia Roque Daluz | Psychiatry & Neurology | 5853 Sw 29th Street, Topeka, KY 66614 | 2006-11-01 |
| 1760587497 | Joy Kathleen Lilly | Psychiatry & Neurology | 5040 Sw 28th Street, Suite B, Topeka, KS 66614-2302 | 2006-09-14 |
| 1518075621 | David S Blakely | Psychiatry & Neurology | 4848 Sw 21st St, Ste 200, Topeka, KS 66604-4415 | 2006-08-28 |
| 1326080912 | Kurt R Guindon | Psychiatry & Neurology | 6650 Sw Mission Valley Dr, Topeka, KS 66614-5654 | 2006-06-11 |
| 1285698589 | Elizabeth R Hatcher | Psychiatry & Neurology | 5847 Sw 29th Street, Topeka, KS 66614-2462 | 2006-04-13 |
| Find all providers in TOPEKA | ||||
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| 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.