Ford 4F, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FORD 4F, LLC

Practice address

7127 W 110TH St
Overland Park, KS 66210-2348

Phone

(913) 231-1768

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Brad Ford

Title

Founder/Owner

Phone

(913) 231-1768

Specialties & licenses 1

Addresses

Other names 1

• Cerebral Spa Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shreeja K Kumar, MD

  • Psychiatry Physician
  • Wichita, KS
  • NPI 1336192491
  Medicare reassignment NPD
• Jennifer Ann Brown, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lees Summit, MO
  • NPI 1548659675

  KS

  Medicare reassignment NPD
• Asra F Siddiqi, MD

  • Child & Adolescent Psychiatry Physician
  • Commack, NY
  • NPI 1013007715

  KS

  Medicare reassignment NPD
• Michael E Williams, M.D.

  • Psychiatry Physician
  • Lees Summit, MO
  • NPI 1295706430

  KS

  Medicare reassignment NPD
• Domonique Louis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
  • NPI 1720663701
  NPD
• Aneel Ahmed Ursani, M.D.

  • Psychiatry Physician
  • Clinton, MO
  • NPI 1982085676

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1346019189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102348",
            "telephone_number": "913-231-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102348",
            "telephone_number": "913-231-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD 4F, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "913-231-1768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerebral Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foot Care Plus LLC
• Foot Clinic, LLC
• Foot Specialists of Kansas City, PA
• Thomas Edward Forbach, D.C.
• Brietta Kathleen Forbes, MD
• Caitlin Ford, LPC
• Jennifer Lynn Ford, M.A. CCC-SLP
• Lindsay Marie Ford
• Rita Ford, LMSW
• Julie Fore, PT

• Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.