Overland Park Wellness, L.L.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04-33861 Issued in KS

Legal business name

OVERLAND PARK WELLNESS, L.L.C.

Practice address

7011 W 121St St
Suite 105
Overland Park, KS 66209-2009

Phone

(913) 515-2441

NPI assigned

Aug 27, 2012

Last updated

Aug 27, 2012By 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

Dr. Brian Patrick Lahey, M.D.

Title

Sole Proprietor

Phone

(913) 515-2441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1265780142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 W 121ST ST",
            "address_2": "SUITE 105",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092009",
            "telephone_number": "913-515-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 W 121ST ST",
            "address_2": "SUITE 105",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092009",
            "telephone_number": "913-515-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAND PARK WELLNESS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "LAHEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "913-515-2441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-33861",
            "primary": true
        }
    ],
    "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 Aug 27, 2012; 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.