Organization Active NPI

TMS Institute of White Oak Psychiatry LLC

  • Health Service Clinic/Center
  • Lees Summit, MO
National Provider Identifier
1003469982
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Jul 19, 2019

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)CodeLicenseStatePrimary
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 Directory

Member 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.

Verify at the official NPI Registry.