Active NPI
Mental Health Medication Services, P.a.
- Psychiatry Physician
- Wichita, KS
National Provider Identifier
1043723497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 53-74595-091
- Legal business name
- MENTAL HEALTH MEDICATION SERVICES, P.A.
- Practice address
- 1421 E 2ND St N
Wichita, KS 67214-4119 - Phone
- (316) 303-0333
- Fax
- (316) 847-7093
- NPI assigned
- Nov 8, 2017
- Last updated
- Jun 16, 2018
- 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
- Bob F. Born, APRN
- Title
- President
- Phone
- (316) 303-0333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 53-74595-091 | KS | Primary |
Addresses
Primary practice location
1421 E 2ND St N
Wichita, KS 67214-4119
Mailing address
2718 W Bentbay Cir
Wichita, KS 67204-2335
Phone (316) 208-8393
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wichita, KS
- NPI 1295775138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1043723497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 W BENTBAY CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672042335",
"telephone_number": "316-208-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 E 2ND ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144119",
"telephone_number": "316-303-0333",
"fax_number": "316-847-7093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH MEDICATION SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-08",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "BORN",
"authorized_official_first_name": "BOB",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "316-303-0333",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "53-74595-091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
- Barbara Sue Menninga, L.C.P.C.
- Mental Health America of South Central Kansas, Inc.
- Mental Health Association
- Mental Health Association of SCK
- Mental Health Association of South Central Kansas
- Mental Health Specialty Group KS, P.a. (Rula Health)
- Mental Health Wichita LLC
- Carolyn Elizabeth Mentel, RD, LD
- Ryan Wells Mentzer
- Joseph Meouchy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.