Active NPI
South Wind Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Overland Park, KS
National Provider Identifier
1306545926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryNPI 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.