Active NPI
TMS Institute of White Oak Psychiatry LLC
- Health Service Clinic/Center
- Lees Summit, MO
National Provider Identifier
1003469982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- TMS INSTITUTE OF WHITE OAK PSYCHIATRY LLC
- Practice address
- 4045 NE Lakewood Way Ste 130a
Lees Summit, MO 64064-1799 - Phone
- (816) 886-2397
- NPI assigned
- Jul 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Mercille
- Title
- Owner
- Phone
- (314) 736-5999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
4045 NE Lakewood Way Ste 130a
Lees Summit, MO 64064-1799
Mailing address
10420 Old Olive Street Rd Ste 104
Creve Coeur, MO 63141-5937
Phone (314) 736-5999
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4045 NE Lakewood Way
Ste 130A
Lees Summit, MO 64064
Phone (314) 736-5999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563494400000",
"number": "1003469982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 OLD OLIVE STREET RD STE 104",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415937",
"telephone_number": "314-736-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 NE LAKEWOOD WAY STE 130A",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640641799",
"telephone_number": "816-886-2397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMS INSTITUTE OF WHITE OAK PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A",
"authorized_official_last_name": "MERCILLE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-736-5999"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.