Eating Disorder Treatment Associates, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EATING DISORDER TREATMENT ASSOCIATES, LLC

Practice address

12140 Nall Ave
Suite 315
Overland Park, KS 66209-2503

Phone

(314) 968-1900

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kim McCallum

Title

President

Phone

(314) 968-1900

Specialties & licenses 1

Addresses

Tax ID family

Eating Disorder Treatment Associates LLC2 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.

• Eating Disorder Treatment Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
  • NPI 1568827905
  NPD tax ID

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1164891966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR",
            "address_2": "SUITE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE",
            "address_2": "SUITE 315",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "314-968-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER TREATMENT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-968-1900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easleys Therapy Service
• Annabelle Eason, MSW
• Shannon Easterly, LCMFT
• Eastern Kansas Chiropractic LLC
• Sarah Michelle Eatherly, PA-C
• Eating Disorder Treatment Associates, LLC
• Wendy S. Eaves, PHD
• Nelda L. Ebers, CRNA
• Nichole Ebert, C.P.T.A.
• Sarah Ebling

• Mental Health Clinic/Center (Including Community Mental Health Center) in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.