Organization Active NPI

South Wind Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1306545926
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOUTH WIND PSYCHIATRY LLC
Practice address
9393 W 110TH St Ste 500
Overland Park, KS 66210-1464
Phone
(913) 359-5611
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Christina N Maltese
Title
VP of Strategic Initiatives
Phone
(720) 355-3299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9393 W 110TH St Ste 500
Overland Park, KS 66210-1464

Mailing address

9393 W 110TH St Ste 500
Overland Park, KS 66210-1464
Phone (913) 359-5611

Other names 1

  • Mile High Psychiatry LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1306545926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 W 110TH ST STE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101464",
            "telephone_number": "913-359-5611",
            "fax_number": "720-367-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 W 110TH ST STE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101464",
            "telephone_number": "913-359-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WIND PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "MALTESE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VP OF STRATEGIC INITIATIVES",
        "authorized_official_telephone_number": "720-355-3299"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 2, 2023; 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.