Active NPI
Picture Hills Behavioral Medicine, Inc.
- Psychiatry Physician
- Parkville, MO
National Provider Identifier
1356413736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 104400
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506051002 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Saint Joseph, MO
- NPI 1083640494
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.