Personalized Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5376939 Issued in KS

Legal business name

PERSONALIZED BEHAVIORAL HEALTH LLC

Practice address

5040 SW 28TH St Ste B
Topeka, KS 66614-2302

NPI assigned

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Le'Ann Meinhardt, NURSE PRACTITIONER

Title

Owner

Phone

(785) 380-9725

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1235650888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 NW BENT TREE LN",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666183477",
            "telephone_number": "785-230-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SW 28TH ST STE B",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "MEINHARDT",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LE'ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-380-9725",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "5376939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte L Perry, ARNP
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• Kiara M Perry
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• Staci Dawn Pershall, LMSW
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• Chatley Peters, DPT
• Jamie Renee Peters, REGISTERED NURSE

• Psychiatric/Mental Health Nurse Practitioner in Topeka, KS
• Providers in Topeka, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.