NPIMap

Organization Active NPI

Responsive Management Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
National Provider Identifier
1164512562
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESPONSIVE MANAGEMENT CLINIC, INC.
Practice address
7501 College Blvd Ste 250
Overland Park, KS 66210-2505
Phone
(913) 451-8550
Fax
(913) 469-5266
NPI assigned
Oct 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Dr. John Stephen Hazel, PHDNPI 1952491367
Title
Ceo
Phone
(913) 451-8550

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

7501 College Blvd Ste 250
Overland Park, KS 66210-2505

Mailing address

7501 College Blvd.
Suite 250
Overland Park, KS 66210-1944
Phone (913) 451-8550

Other identifiers 1

IdentifierTypeStateIssuer
200376920AMedicaidKS

Other names 1

  • Responsive Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000781 KS Part B Supplier - Clinic/Group Practice 9638082605 Receives reassigned benefits from 30 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

11791 W 112th St
Overland Park, KS 66210
Phone (913) 214-6536

8001 College Blvd
#220
Overland Park, KS 66210
Phone (913) 451-8550

Practitioners & affiliated clinicians

Practitioners 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1164512562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 COLLEGE BLVD.",
            "address_2": "SUITE 250",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101944",
            "telephone_number": "913-451-8550",
            "fax_number": "913-469-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 COLLEGE BLVD STE 250",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102505",
            "telephone_number": "913-451-8550",
            "fax_number": "913-469-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPONSIVE MANAGEMENT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-451-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200376920A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Responsive Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Responsive Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.