Roswell Addiction Treatment

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

License

07070894 Issued in KS

Legal business name

ROSWELL ADDICTION TREATMENT

Practice address

1401 N 18TH St
Kansas City, KS 66102-2845

Phone

(913) 387-4773

Fax

(913) 621-2297

NPI assigned

Jan 9, 2010

Last updated

Jan 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James O. Maxwell, D.MIN

Title

Executive Director

Phone

(913) 957-3596

Specialties & licenses 1

Addresses

Tax ID family

Roswell Addiction Treatment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seed Center Roswell Rehabilitation Addiction Program

  • Recovery Care Clinic/Center
  • Kansas City, KS
  • NPI 1194043968
  NPD tax ID

Locations

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262995200000",
    "number": "1336479682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N 18TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661022845",
            "telephone_number": "913-387-4773",
            "fax_number": "913-621-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 18TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661022845",
            "telephone_number": "913-387-4773",
            "fax_number": "913-621-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL ADDICTION TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2010-01-09",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-957-3596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "KS",
            "license": "07070894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanton J Rosenthal, M.D.
• Dawn Rosey, LCSW
• Jaresa Dione Ross-Bey, LCSW
• Tyler Joel Ross, MD
• Lee Rosterman, DO
• Paul Bernard Rotert, DO, MPH
• Ronny L Rotondo, MDCM
• Michael Taylor Rouse, DO
• Jessica Rousseau, L.P.C.
• Lauren Rowan, DO

• Recovery Care Clinic/Center in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Recovery Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2010; 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.