Organization Active NPI

Picture Hills Behavioral Medicine, Inc.

  • Psychiatry Physician
  • Parkville, MO
National Provider Identifier
1356413736
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
104400 Issued in MO
Legal business name
PICTURE HILLS BEHAVIORAL MEDICINE, INC.
Practice address
5652 Meadow CT N
Parkville, MO 64152-6115
Phone
(816) 584-9082
Fax
(816) 584-9083
NPI assigned
Nov 14, 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
Dr. Donald Wayne Hinton, M.D.NPI 1083640494
Title
President
Phone
(816) 584-9082

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 104400 MO Primary

Addresses

Primary practice location

5652 Meadow CT N
Parkville, MO 64152-6115

Mailing address

5652 Meadow CT N
Parkville, MO 64152-6115
Phone (816) 584-9082

Other identifiers 1

IdentifierTypeStateIssuer
506051002MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080514000672 MO Part B Supplier - Clinic/Group Practice 2264501410 Receives reassigned benefits from 1 practitioner
Practice locations: Cameron, MO; Independence, MO; Parkville, MO; Riverside, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1356413736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 MEADOW CT N",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641526115",
            "telephone_number": "816-584-9082",
            "fax_number": "816-584-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 MEADOW CT N",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641526115",
            "telephone_number": "816-584-9082",
            "fax_number": "816-584-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICTURE HILLS BEHAVIORAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-584-9082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "104400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506051002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

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.
  • 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.