NPIMap

Organization Active NPI

Research Psychiatric 1500 LLC

Doing business as Mill Creek Outpatient Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
National Provider Identifier
1336204262
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
552 Issued in KS
Legal business name
RESEARCH PSYCHIATRIC 1500 LLC
Doing business as
Mill Creek Outpatient Services
Practice address
8787 Ballentine
Suite 1200
Overland Park, KS 66214
Phone
(913) 339-9933
Fax
(913) 339-9915
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Sherry R MontgomeryNPI 1841265881
Title
Program Director
Phone
(913) 339-9933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 552 KS Primary

Addresses

Primary practice location

8787 Ballentine
Suite 1200
Overland Park, KS 66214

Mailing address

8787 Ballentine
Suite 1200
Overland Park, KS 66214
Phone (913) 339-9933

Other names 1

  • Mill Creek Outpatient Services Doing business as

National Provider Directory

National Provider Directory

Locations

8787 Ballentine St
Ste 1200
Shawnee Msn, KS 66214
Phone (913) 339-9933

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1336204262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BALLENTINE",
            "address_2": "SUITE 1200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-339-9933",
            "fax_number": "913-339-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BALLENTINE",
            "address_2": "SUITE 1200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-339-9933",
            "fax_number": "913-339-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESEARCH PSYCHIATRIC 1500 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "913-339-9933"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Creek Outpatient Services",
            "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 Jul 31, 2008; 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.