Midwest Anxiety Treatment Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIDWEST ANXIETY TREATMENT CENTER

Practice address

8575 W 110TH St
Suite 302
Overland Park, KS 66210-1868

Phone

(913) 226-9888

Fax

(913) 397-7421

NPI assigned

Mar 3, 2009

Last updated

Mar 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy Brent Floyd, LSCSWNPI 1124221742

Title

Executive Director

Phone

(913) 226-9888

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randy Brent Floyd, LSCSW

  • Clinical Social Worker
  • Overland Park, KS
  • NPI 1124221742
  Authorized official Same address or phone

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1225278377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 W 110TH ST",
            "address_2": "SUITE 302",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101868",
            "telephone_number": "913-226-9888",
            "fax_number": "913-397-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W 110TH ST",
            "address_2": "SUITE 302",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101868",
            "telephone_number": "913-226-9888",
            "fax_number": "913-397-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ANXIETY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-226-9888",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Community/Behavioral Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.