MARILLAC CENTER, INC. (NPI# 1790940591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790940591 |
| Entity Type | Organization |
| Organization Name | MARILLAC CENTER, INC. |
| Practice Address |
8000 W 127th St Overland Park KS 66213-2714 |
| Practice Telephone | 8165083300 |
| Practice Fax Number | 8165083321 |
| Mailing Telephone | 8165083300 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | MR. MARK RICHARDS (PRESIDENT/CEO) |
| Authorized Official Telephone | 8165083318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361119 | Marillac Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8000 W 127th St, Overland Park, KS 66213-2714 | 2006-01-20 |
| 1003964875 | Marillac Center, Inc. | Psychiatric Hospital | 8000 W 127th St, Overland Park, KS 66213-2714 | 2007-01-08 |
| Street Address |
8000 W 127TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361119 | Marillac Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8000 W 127th St, Overland Park, KS 66213-2714 | 2006-01-20 |
| 1679196174 | Dimas Omar Benitez | Behavior Technician | 8000 W 127th St, Overland Park, KS 66213-2714 | 2020-05-19 |
| 1497287783 | Jordan Pener | Counselor | 8000 W 127th St, Overland Park, KS 66213-2714 | 2017-03-28 |
| 1982141420 | Jason Southard | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2017-01-23 |
| 1982066759 | Britney Compton | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2016-03-22 |
| 1881088581 | Ashley Dugan | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2015-03-20 |
| 1942606280 | Katharine Olson | Counselor | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-11-14 |
| 1548680507 | Caitlin Mellencamp Winder | Psychiatry & Neurology | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-04-17 |
| 1023436862 | David Strother | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-03-30 |
| 1689001612 | Sharnee Garner | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2013-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794363 | Nikki Green Counseling | Clinic/Center | 7927 Floyd St, Overland Park, KS 66204-3724 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590500 | Akoma Counseling LLC | Clinic/Center | 3300 Clinton Parkway Ct Ste 120, Lawrence, KS 66047-2657 | 2020-08-31 |
| 1912423823 | Jenni Harshbarger, Phd, P.a. | Clinic/Center | 801 E. Douglas, Regus Suites, 2nd Floor, Wichita, KS 67202 | 2017-08-22 |
| 1326428004 | Life Counseling and Play Therapy, LLC | Clinic/Center | 103 E 9th Ave Ste 202, Winfield, KS 67156-2815 | 2015-06-08 |
| 1801407622 | John M Bjerum Therapy, LLC | Clinic/Center | 7807 E Funston St, Wichita, KS 67207-3123 | 2020-08-14 |
| 1396200564 | Fieldview Healthcare, Inc | Clinic/Center | 551 S Holland St, Wichita, KS 67209-2007 | 2019-02-01 |
| 1811327950 | Sequel of Kansas, LLC | Clinic/Center | 24401 W Macarthur Rd, Goddard, KS 67052-8713 | 2013-11-26 |
| 1821121534 | Florence Crittenton Services of Topeka, Inc. | Clinic/Center | 2649 Sw Arrowhead Rd, Topeka, KS 66614-2458 | 2007-03-13 |
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.