NPIMap

Organization Active NPI

Anima LLC

Doing business as Southwest Psychiatric Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Liberal, KS
National Provider Identifier
1043349210
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
74614 Issued in KS
Legal business name
ANIMA LLC
Doing business as
Southwest Psychiatric Clinic
Practice address
150 Plaza Dr Ste F
Liberal, KS 67901-2779
Phone
(620) 624-2900
Fax
(620) 624-4050
NPI assigned
Mar 5, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Alice Joyce Griffitt, ARNPNPI 1366445215
Title
Owner
Phone
(620) 624-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 74614 KS Primary

Addresses

Primary practice location

150 Plaza Dr Ste F
Liberal, KS 67901-2779

Mailing address

150 Plaza Dr Ste F
Liberal, KS 67901-2779
Phone (620) 624-2900

Other names 1

  • Southwest Psychiatric Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

150 Plaza Dr
Ste F
Liberal, KS 67901
Phone (620) 624-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1043349210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PLAZA DR STE F",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012779",
            "telephone_number": "620-624-2900",
            "fax_number": "620-624-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PLAZA DR STE F",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012779",
            "telephone_number": "620-624-2900",
            "fax_number": "620-624-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "GRIFFITT",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-624-2900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Psychiatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.