Insight Behavioral Health, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2124 Issued in KS

Legal business name

INSIGHT BEHAVIORAL HEALTH, PA

Practice address

8826 Santa Fe Dr
Suite 170
Overland Park, KS 66212-3655

Phone

(913) 438-2100

Fax

(913) 438-2119

NPI assigned

Feb 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ann Prohaska, PH.D.

Title

Owner

Phone

(913) 226-8270

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1255756144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR",
            "address_2": "SUITE 170",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123655",
            "telephone_number": "913-438-2100",
            "fax_number": "913-438-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR",
            "address_2": "SUITE 170",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123655",
            "telephone_number": "913-438-2100",
            "fax_number": "913-438-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT BEHAVIORAL HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "PROHASKA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-226-8270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2124",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "KS",
            "license": "2124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.