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Contact Information

PSYCHIATRIC CARE ASSOCIATES PA
3315 S 4TH ST
STE 100
LEAVENWORTH, KS66048
 Phone: 913-651-2202
 Fax: 913-273-1316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PSYCHIATRIC CARE ASSOCIATES PA · (Female)

NPI # 1770513954
Status Active
Credentials
Entity Individual
Enumeration date 07/04/2006
Last updated 08/01/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 0420849
  • MO License # R6E66
  • KS Medicaid 100113500A
  • MO Medicaid 202632600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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