Centerpointe Behavioral Health Kansas City, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CENTERPOINTE BEHAVIORAL HEALTH KANSAS CITY, LLC

Practice address

4031 NE Lakewood Way
100
Lees Summit, MO 64064-2060

Phone

(314) 393-3954

Fax

(314) 842-0772

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Irshad Khan

Title

Consultant

Phone

(314) 393-3954

Specialties & licenses 2

Addresses

Other names 1

• Signature Behavioral Healthcare Doing business as

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1194046474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 NE LAKEWOOD WAY",
            "address_2": "100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642060",
            "telephone_number": "314-393-3954",
            "fax_number": "314-842-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINTE BEHAVIORAL HEALTH KANSAS CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IRSHAD",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "314-393-3954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carina Rachel Castilleja, RN, MSN, PMHNP-BC
• Stephan Denis Caye, D.D.S.
• CCRC of Lees Summit, LLC
• Vicki Kay Cederburg, LCSW, LSCSW, ACSW
• Cejj, Inc
• CH Specialty Services Mo LLC
• John P Chagoyan, PLPC, NCC
• Angela Chambers, BCBA
• Benjamin Hadley Chambers, D.C.
• Mary Jane Chandler, PHARM.D

• All providers in Lees Summit, MO
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.