Active NPI
VA Eastern Kansas Health Care System
- Community/Behavioral Health Agency
- Leavenworth, KS
National Provider Identifier
1083015267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2244
- Legal business name
- VA EASTERN KANSAS HEALTH CARE SYSTEM
- Practice address
- 4101 S 4TH St
Main Hospital, A2, Room A629
Leavenworth, KS 66048-5014 - Phone
- (913) 682-2000
- Fax
- (913) 758-4277
- NPI assigned
- Sep 8, 2014
- Organization subpart
- Yes
- Parent organization
- DEPARTMENT OF VETERANS AFFAIRS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melinda Ann Gaddy, PH.D.
- Title
- Psychologist
- Phone
- (913) 682-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2244 | KS | Primary |
Addresses
Primary practice location
4101 S 4TH St
Main Hospital, A2, Room A629
Leavenworth, KS 66048-5014
Mailing address
4101 S 4TH St
Main Hospital, A2, Room A629
Leavenworth, KS 66048-5014
Phone (913) 682-2000
Other names 1
- Dwight D. Eisenhower VA Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- McDonald Army Health Care Center
- Part of
- McDonald Army Health Care Center
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- General Acute Care Hospital
- Fort Leavenworth, KS
- NPI 1316104433
Locations
4101 S 4th St
Rm A629
Leavenworth, KS 66048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410134400000",
"number": "1083015267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 S 4TH ST",
"address_2": "MAIN HOSPITAL, A2, ROOM A629",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485014",
"telephone_number": "913-682-2000",
"fax_number": "913-758-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 S 4TH ST",
"address_2": "MAIN HOSPITAL, A2, ROOM A629",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485014",
"telephone_number": "913-682-2000",
"fax_number": "913-758-4277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA EASTERN KANSAS HEALTH CARE SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEPARTMENT OF VETERANS AFFAIRS",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A",
"authorized_official_last_name": "GADDY",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "913-682-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "KS",
"license": "2244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dwight D. Eisenhower VA Medical Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.