JACLYN E.A. LEGG (NPI# 1558624890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558624890 |
| Entity Type | Individual |
| Full Name | JACLYN E.A. LEGG |
| Credential | D.O. |
| Practice Address |
8900 State Line Rd Ste 380 Leawood KS 66206-1936 |
| Practice Telephone | 9133857252 |
| Practice Fax Number | 9133852412 |
| Mailing Telephone | (913) 385-7252 |
| Mailing Fax Number | 9133852412 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0539323 | KS | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0539323 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
8900 STATE LINE RD STE 380 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66206-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856699 | Sherman Ward Cole | Psychiatry & Neurology | 8900 State Line Rd Ste 380, Leawood, KS 66206-1936 | 2006-01-18 |
| 1194189555 | Mark Sundahl | Psychiatry & Neurology | 8900 State Line Rd Ste 380, Leawood, KS 66206-1936 | 2016-04-11 |
| 1558755728 | Salma Rashan Velazquez | Psychiatry & Neurology | 8900 State Line Rd Ste 380, Leawood, KS 66206-1936 | 2015-03-25 |
| 1487997110 | Andrew Segraves | Psychiatry & Neurology | 8900 State Line Rd Ste 380, Leawood, KS 66206-1936 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740677 | Johanna Nilsson | Psychologist | 3795 W. 95th Street, Overland Park, KS 66206 | 2019-10-03 |
| 1205312618 | Courtney Brooke Summers | Speech-Language Pathologist | 3795 W. 95th St., Overland Park, KS 66206 | 2018-07-18 |
| 1467844340 | Kimberly Kircher | Nurse Practitioner | 10511 Mission Road, Unit 201, Leawood, KS 66206 | 2015-03-02 |
| 1730513227 | Kc Developmental Therapies, LLC | Speech-Language Pathologist | 3795 W. 95th St, Overland Park, KS 66206 | 2013-09-03 |
| 1124372479 | Thalia House Kc, Inc | Counselor | 9811 Lee Circle, Leawood, KS 66206 | 2012-11-07 |
| 1063772754 | Sasha G Hamdani | Psychiatry & Neurology | 8900 State Line Road, Suite 380, Leawood, KS 66206 | 2012-05-29 |
| 1174716120 | Olivia Ann Byram | Speech-Language Pathologist | 9613 High Drive, Leawood, KS 66206 | 2007-08-23 |
| 1124144837 | Jaime L Parks | Audiologist-Hearing Aid Fitter | 3655 W 95th St, Overland Park, KS 66206 | 2007-03-22 |
| 1922137074 | Robert Busetti | Dentist | 10346 State Line Road, Leawood, KS 66206 | 2007-03-05 |
| 1457395410 | Sherman Charles Zaremski | Internal Medicine | 9931 Lee Court, Leawood, KS 66206 | 2006-06-16 |
| Find all providers in zip 66206 | ||||
| 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 |
|---|---|---|---|---|
| 1760652531 | Robert Seth Gordon | Psychiatry & Neurology | 611 S Kansas Ave Ste 101, Topeka, KS 66603 | 2008-03-07 |
| 1902945934 | Mwendalubi Yasa | Psychiatry & Neurology | 1901 East First Street, Prairie View, Newton, KS 67114-0467 | 2007-02-06 |
| 1871639799 | Kansas University Physicians Inc | Psychiatry & Neurology | 1088 Delp Pavilion, Mail Stop 4015 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1306996434 | Poonam Khanna | Psychiatry & Neurology | 14221 Metcalf Ave, Suite 123, Overland Park, KS 66223-3344 | 2007-01-11 |
| 1225067655 | M David Brown | Psychiatry & Neurology | 8300 College Blvd Ste 320, Overland Park, KS 66210-2814 | 2006-06-30 |
| 1629510417 | Wexler Family Psychiatry | Psychiatry & Neurology | 4203 Booth St, Kansas City, KS 66103-3116 | 2016-11-09 |
| 1548680507 | Caitlin Mellencamp Winder | Psychiatry & Neurology | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-04-17 |
| 1821346495 | Stacey Allison Laird | Psychiatry & Neurology | 4121 W 83rd St, Suite 204, Prairie Village, KS 66208-5472 | 2012-08-29 |
| 1851646285 | Anthony Anunwa Md Pa | Psychiatry & Neurology | 1600 N Lorraine St, Hutchinson, KS 67501-5670 | 2012-07-23 |
| 1659633709 | Larry David Mitnaul Jr. | Psychiatry & Neurology | 1515 S Clifton Ave Ste 300, Wichita, KS 67218-2953 | 2012-06-14 |
| Find all providers with the same taxonomy | ||||
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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.