Shawn L Willson M.D., LLC

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

0433574 Issued in KS

Legal business name

SHAWN L WILLSON M.D., LLC

Practice address

7301 Mission Rd
BLDG 2, Ste 111
Prairie Village, KS 66208-3006

Phone

(913) 381-4200

Fax

(913) 381-4201

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Patricia Lynn Defreece

Title

Manager

Phone

(913) 381-4200

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1265892889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "BLDG 2, STE 111",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083006",
            "telephone_number": "913-381-4200",
            "fax_number": "913-381-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "BLDG 2, STE 111",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083006",
            "telephone_number": "913-381-4200",
            "fax_number": "913-381-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN L WILLSON M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "DEFREECE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-381-4200"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "KS",
            "license": "0433574",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "KS",
            "license": "0433574",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0433574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Self, RBT
• Lindsay Thomas Severns
• Rachel Seymour, M.D.
• Rupali Shah, RD
• Anna Sharp
• Shawnee Mission Psychiatric Services, LLC
• Stephanie Marisa Shelby
• Avery Shields, RBT
• Shrink Inc.
• Heath Shroyer, LMT

• Forensic Psychiatry Physician in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Forensic Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.