MITCHELL DOUGLASS (NPI# 1497938682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497938682 |
| Entity Type | Individual |
| Full Name | MITCHELL DOUGLASS |
| Credential | MD |
| Practice Address |
1301 N 47th St Kansas City KS 66102-1705 |
| Mailing Address |
757 Armstrong Ave Kansas City KS 66101-2701 |
| Practice Telephone | 9135636500 |
| Mailing Telephone | 9135636500 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2009-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
04-33872 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
1301 N 47TH ST |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66102-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326015017 | Naomi Kaplan | Social Worker | 1301 N 47th St, Kansas City, KS 66102-1705 | 2006-03-02 |
| 1437780863 | Amanda Nicole Welch | Psychologist | 1301 N 47th St, Kansas City, KS 66102-1705 | 2020-02-04 |
| 1598307829 | Andrea Kesler | Social Worker | 1301 N 47th St, Kansas City, KS 66102-1705 | 2019-10-08 |
| 1598306888 | Jordan Kristine Graves | Counselor | 1301 N 47th St, Kansas City, KS 66102-1705 | 2019-10-08 |
| 1326694449 | Kari Elizabeth Harman | Counselor | 1301 N 47th St, Kansas City, KS 66102-1705 | 2019-08-14 |
| 1043863657 | Amanda Gebke | Social Worker | 1301 N 47th St, Kansas City, KS 66102-1705 | 2019-07-23 |
| 1073166120 | Ana Paula Andrade Alvares De Lima | Psychologist | 1301 N 47th St, Kansas City, KS 66102-1705 | 2019-07-18 |
| 1518437771 | Kelly Dianne Colvin | Social Worker | 1301 N 47th St, Kansas City, KS 66102-1705 | 2018-11-30 |
| 1316424419 | Emily Shoshana Adler | Social Worker | 1301 N 47th St, Kansas City, KS 66102-1705 | 2018-07-23 |
| 1972097079 | Demetri Jean Trautwein | Social Worker | 1301 N 47th St, Kansas City, KS 66102-1705 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1962904680 | Robyn Smith | Nurse's Aide | 1711 N 58th Street, Kansas City, KS 66102 | 2018-03-08 |
| 1427564756 | Kimberly Lartey Hardeman | Midwife, Lay | 4705 Nebraska Avenue, Kansas City, KS 66102 | 2017-12-22 |
| 1396116117 | 47th Street Dental Center, LLC | Dentist | 4301 State Ave Bldg A, Kansas City, KS 66102 | 2015-10-20 |
| 1336550763 | Carlie Thomas | Case Manager/Care Coordinator | 417 North 17th Street, Kansas City, KS 66102 | 2014-05-20 |
| 1053619932 | Karla Christine Wright | Speech-Language Pathologist | 4911 State Ave/, Kansas City, KS 66102 | 2011-03-02 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1255513040 | Maureen Liddiard | Social Worker | 1223 Meadowlark Lane, Kansas City, KS 66102 | 2007-12-04 |
| 1841499175 | Lori Ann Erwin | Counselor | 1333 Meadowlark Lane, Suite 205 Tfi Family Services Behavioral Health, Kansas City, KS 66102 | 2007-07-17 |
| 1669679023 | Lynn Alan Barrett | Marriage & Family Therapist | 1301 N. 47th, Kansas City, KS 66102 | 2007-06-29 |
| Find all providers in zip 66102 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194645 | Lotus Medical Associates LLC | Psychiatry & Neurology | 5100 Oak St Apt 433, Kansas City, MO 64112-2969 | 2019-09-30 |
| 1871639799 | Kansas University Physicians Inc | Psychiatry & Neurology | 1088 Delp Pavilion, Mail Stop 4015 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1679622278 | Steven Sehr | Psychiatry & Neurology | 1021 W 69th St, Kansas City, MO 64113-1907 | 2007-01-10 |
| 1336222306 | Dawn Michelle Porter | Psychiatry & Neurology | 1730 Prospect Ave, Kansas City, MO 64127-2544 | 2006-10-23 |
| 1629510417 | Wexler Family Psychiatry | Psychiatry & Neurology | 4203 Booth St, Kansas City, KS 66103-3116 | 2016-11-09 |
| 1922441450 | Trenton Michael Myers | Psychiatry & Neurology | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2013-04-15 |
| 1912264292 | Bridget M. Clark | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-04-11 |
| 1104197136 | Ram Chettiar | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-01-23 |
| 1679879001 | Carla Louise Wakefield | Psychiatry & Neurology | 1301 N 47th St, Kansas City, KS 66102-1705 | 2011-02-02 |
| 1912141359 | Brian Terry Cuthbertson | Psychiatry & Neurology | 8800 Blue Ridge Blvd Ste 100, Kansas City, MO 64138-4061 | 2009-04-29 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66102 |
Please comment or provide details below to improve the information on MITCHELL DOUGLASS.
| 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.