NPIMap

Organization Active NPI

Great Plains Hospital

Doing business as Heartland Behavioral

  • Child & Adolescent Psychiatry Physician
  • Nevada, MO
National Provider Identifier
1073641254
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
GREAT PLAINS HOSPITAL
Doing business as
Heartland Behavioral
Practice address
1500 W Ashland St
Nevada, MO 64772-1710
Phone
(417) 667-2666
Fax
(417) 448-5689
NPI assigned
Mar 1, 2007
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Alyson Harder
Title
Ceo
Phone
(417) 667-2666

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X
Child & Adolescent Psychiatry Physician 2084P0804X Primary

Addresses

Primary practice location

1500 W Ashland St
Nevada, MO 64772-1710

Mailing address

1500 W Ashland St
Nevada, MO 64772-1710
Phone (417) 667-2666

Other identifiers 1

IdentifierTypeStateIssuer
508321304MedicaidMO

Other names 1

  • HEARTLAND BEHAVIORAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franklin Ross Lscsw6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 W Ashland St
Nevada, MO 64772
Phone (417) 667-2666

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1073641254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W ASHLAND ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721710",
            "telephone_number": "417-667-2666",
            "fax_number": "417-448-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W ASHLAND ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647721710",
            "telephone_number": "417-667-2666",
            "fax_number": "417-448-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-667-2666"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508321304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEARTLAND BEHAVIORAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.