NPIMap

Organization Active NPI

Substance Abuse Assessment Ctr

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wichita, KS
National Provider Identifier
1114065489
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SUBSTANCE ABUSE ASSESSMENT CTR
Practice address
731 N Water St
Ste 2
Wichita, KS 67203-3853
Phone
(316) 267-3825
Fax
(316) 267-3843
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Harold Casey, BA-LAC
Title
Ceo
Phone
(316) 267-3825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

731 N Water St
Ste 2
Wichita, KS 67203-3853

Mailing address

731 N Water St
Ste 4
Wichita, KS 67203-3853
Phone (316) 267-3825

Other identifiers 1

IdentifierTypeStateIssuer
100320580AMedicaidKS

National Provider Directory

National Provider Directory
Tax ID family
Substance Abuse Assessment Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

731 N Water St
Ste 4
Wichita, KS 67203
Phone (316) 246-1280

731 N Water St
Ste 2
Wichita, KS 67203
Phone (316) 267-3825

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1114065489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N WATER ST",
            "address_2": "STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033853",
            "telephone_number": "316-267-3825",
            "fax_number": "316-267-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N WATER ST",
            "address_2": "STE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033853",
            "telephone_number": "316-267-3825",
            "fax_number": "316-267-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSTANCE ABUSE ASSESSMENT CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-267-3825",
        "authorized_official_credential": "BA-LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100320580A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.