| Picture Hills Psychiatric Center | |
|
5709 Nw 64th Ter Kansas City MO 64151-2382 | |
| (816) 746-5555 | |
| (816) 746-5996 |
| Full Name | Picture Hills Psychiatric Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5709 Nw 64th Ter, Kansas City, Missouri |
| Authorized Official Name and Position | Sieglinde C Othmer (OWNER) |
| Authorized Official Contact | 8167465555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picture Hills Psychiatric Center 5709 Nw 64th Ter Kansas City MO 64151-2382 Ph: (816) 746-5555 | Picture Hills Psychiatric Center 5709 Nw 64th Ter Kansas City MO 64151-2382 Ph: (816) 746-5555 |
| NPI Number | 1134310154 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 06/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134310154 | NPI | - | NPPES |
| 2005021811 | Other | MO | STATE OF MO MD LICENSE |
| 497729418 | Medicaid | MO | |
| 202302113 | Medicaid | MO | |
| MD-063-511L | Other | MO | CHILD AND ADOLESCENT PSYC |
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