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Contact Information

MIDWEST PSYCHIATRIC PA
5300 W 94TH TER STE 200
PRAIRIE VILLAGE, KS66207-2536
 Phone: 913-381-8555
 Fax: 913-677-2112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MIDWEST PSYCHIATRIC PA

NPI # 1154535060
LBN Legal business name MIDWEST PSYCHIATRIC PA
Authorized official MAGDALEN GUSTILO - (DIRECTOR OF PAYER RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 06/05/2023 - About 3 years ago
Identifiers
KS License # 0427007
KS Medicaid 100384540B
MO Medicaid 203768908-A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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