PSYCHIATRIC PRACTIQUE PA (NPI# 1801991237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801991237 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC PRACTIQUE PA |
| Practice Address |
8645 College Blvd Ste 220 Overland Park KS 66210-1835 |
| Mailing Address |
Po Box 26601 Overland Park KS 66225-6601 |
| Practice Telephone | 9136969908 |
| Practice Fax Number | 9133418125 |
| Mailing Telephone | 9136969908 |
| Mailing Fax Number | 9133418125 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. REGINIA BROWN CAROLINA (OWNER) |
| Authorized Official Telephone | 9136969908 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2003007992 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KANSAS CITY | 35298015 | 01 |
| Street Address |
8645 COLLEGE BLVD STE 220 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205844644 | Karyn B Perry | Psychologist | 8645 College Blvd, Suite 270, Overland Park, KS 66210-1835 | 2006-08-03 |
| 1144847849 | Sade Angela Tyler | Counselor | 8645 College Blvd, Overland Park, KS 66210-1971 | 2020-06-29 |
| 1942327903 | Thomas Edmund Thirlkel | Social Worker | 8645 College Blvd, 220, Overland Park, KS 66210-1835 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437411725 | Phaedra M. Dowell | Psychiatry & Neurology | 12140 Nall Ave Ste 230, Overland Park, KS 66209-2507 | 2012-06-12 |
| 1235413196 | Harsh Vardhan Gupta | Psychiatry & Neurology | 10777 Nall Ave Ste 200, Overland Park, KS 66211-1357 | 2011-10-10 |
| 1295770154 | Fernando M Egea | Psychiatry & Neurology | 6405 Metcalf Ave, 508, Overland Park, KS 66202-3927 | 2006-06-17 |
| 1790780310 | George R Moreng | Psychiatry & Neurology | 6409 W 125th St, Overland Park, KS 66209-2520 | 2005-06-20 |
| 1164424339 | Ian Leslie Belson | Psychiatry & Neurology | 12140 Nall, Suite 230, Overland Park, KS 66209-2503 | 2005-06-01 |
| 1629230479 | David Frederick Clark | Psychiatry & Neurology | 12140 Nall Ave, Suite 230, Overland Park, KS 66209-2503 | 2008-07-01 |
| 1962691774 | Samuel R Lehman Md Neurology | Psychiatry & Neurology | 10550 Quivira Rd Ste 520, Overland Park, KS 66215-2306 | 2007-10-17 |
| 1083730501 | Muhammad Mahdi Nashatizadeh | Psychiatry & Neurology | 10550 Quivira Rd, Suite 530, Overland Park, KS 66215-2306 | 2007-03-22 |
| 1194850115 | Johnson County Neurology LLC | Psychiatry & Neurology | 5701 W 119th St, Suite 102, Overland Park, KS 66209-3722 | 2007-02-22 |
| 1164586152 | Bernard Mark Abrams | Psychiatry & Neurology | 5520 College Boulevard, Suite 320, Overland Park, KS 66211-1690 | 2006-12-21 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
Please comment or provide details below to improve the information on PSYCHIATRIC PRACTIQUE PA.
| 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.