Organization Active NPI

Deanna Sack, LLC

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1285304253
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEANNA SACK, LLC
Practice address
9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097
Phone
(913) 980-2230
Fax
(816) 227-6931
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Deanna Sack
Title
Clinical Psychologist
Phone
(913) 980-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9200 Indian Creek Pkwy Ste 660
Overland Park, KS 66210-2097

Mailing address

501 W 89TH Ter
Kansas City, MO 64114-3510
Phone (913) 980-2230

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1285304253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 89TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143510",
            "telephone_number": "913-980-2230",
            "fax_number": "816-227-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 INDIAN CREEK PKWY STE 660",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102097",
            "telephone_number": "913-980-2230",
            "fax_number": "816-227-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA SACK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "913-980-2230"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.