Deer Creek Behavioral Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DEER CREEK BEHAVIORAL HEALTH SERVICES

Practice address

6240 W 135TH St Ste 200
Overland Park, KS 66223-4849

Phone

(913) 710-1518

NPI assigned

Nov 28, 2022

Last updated

Jun 19, 2023By 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

Silverus KimeliNPI 1477162550

Title

Nurse Practitioner

Phone

(913) 710-1518

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Tax ID family

Deer Creek Behavioral Health Services2 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.

• Deer Creek Behavioral Health Services

  • Psychiatry Physician
  • Overland Park, KS
  • NPI 1245944123
  NPD tax ID

Locations

Practitioners 2

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.

• Silverus Ngetich Kimeli, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Overland Park, KS
  • NPI 1477162550
  Medicare reassignment NPD Authorized official
• Rebby Sang

  • Family Nurse Practitioner
  • Overland Park, KS
  • NPI 1306422910

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1265142673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 226",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234856",
            "telephone_number": "913-229-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234849",
            "telephone_number": "913-710-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER CREEK BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "KIMELI",
        "authorized_official_first_name": "SILVERUS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "913-710-1518"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda D. Decarlo, ARNP
• Decker Integrated Orthotics and Prosthetics, LLC
• Decourcy Chiropractic Clinic PA
• Martin St John Decourcy, DC
• Deer Creek Behavioral Health Services
• Deer Creek Family Dental
• Deer Creek Surgery Center, LLC
• Jessica Deeter
• Amanda Jo Defelice, SLP-CFY
• David Michael Deghelder, PTA

• Psychiatric/Mental Health Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, 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 Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.