| Center For Behavioral Health | |
|
1000 E 24th St Kansas City MO 64108-2776 | |
| (816) 512-7000 | |
| (816) 512-7509 |
| Full Name | Center For Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1000 E 24th St, Kansas City, Missouri |
| Authorized Official Name and Position | Molly Jane Boeckmann (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 5737514055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health 1706 E Elm St Jefferson City MO 65101-4130 Ph: (573) 751-3398 | Center For Behavioral Health 1000 E 24th St Kansas City MO 64108-2776 Ph: (816) 512-7000 |
| NPI Number | 1497709083 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 10/27/2020 |
| Medicare PECOS PAC ID | 1456254226 |
|---|---|
| Medicare Enrollment ID | O20040609001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497709083 | NPI | - | NPPES |
| 500931704 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Deborah Diane Stoner-bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851339121 PECOS PAC ID: 7214908862 Enrollment ID: I20040805000632 |
| Provider Name | Preston B Howerton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023004652 PECOS PAC ID: 6406954395 Enrollment ID: I20070530000385 |
| Provider Name | James B Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467499772 PECOS PAC ID: 1355344912 Enrollment ID: I20090508000512 |
| Provider Name | Donna P Mckown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639349848 PECOS PAC ID: 9739214198 Enrollment ID: I20100324000397 |
| Provider Name | Shakila Tanjim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619198686 PECOS PAC ID: 5092801639 Enrollment ID: I20100805000374 |
| Provider Name | Angela D Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790065068 PECOS PAC ID: 9638340714 Enrollment ID: I20110921000452 |
| Provider Name | Matthew Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407112204 PECOS PAC ID: 1456515444 Enrollment ID: I20120601000380 |
| Provider Name | Joseph S Moon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689725178 PECOS PAC ID: 6204087133 Enrollment ID: I20121127000180 |
| Provider Name | Olajide K Oguntuase |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528292570 PECOS PAC ID: 6002050671 Enrollment ID: I20130920000547 |
| Provider Name | Dana M Zinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881132587 PECOS PAC ID: 6901181205 Enrollment ID: I20170329001790 |
| Provider Name | Shela Marie Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134646003 PECOS PAC ID: 9739454695 Enrollment ID: I20171004000178 |
| Provider Name | Katelynn R Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043785470 PECOS PAC ID: 6204180235 Enrollment ID: I20181110000208 |
| Provider Name | Sarah M Mielens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699241539 PECOS PAC ID: 5799029518 Enrollment ID: I20181205002737 |
| Provider Name | Angela L Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013480979 PECOS PAC ID: 5799022356 Enrollment ID: I20190122000728 |
| Provider Name | Ming B Chi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902149016 PECOS PAC ID: 8325340151 Enrollment ID: I20190817000134 |
| Provider Name | William R Enochs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144617978 PECOS PAC ID: 4880996594 Enrollment ID: I20190829002064 |
| Provider Name | Bruce N Parsa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639467764 PECOS PAC ID: 0042642712 Enrollment ID: I20191119000058 |
| Provider Name | Ovidiu D Rivis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356359806 PECOS PAC ID: 5799688149 Enrollment ID: I20220627001638 |
| Provider Name | Bree N Newbold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730823030 PECOS PAC ID: 6901275486 Enrollment ID: I20221205001998 |
| Provider Name | Andrea J Araujo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427453018 PECOS PAC ID: 9537538301 Enrollment ID: I20221219000180 |
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