Active NPI
Crittenton
- Psychologist
- Kansas City, MO
National Provider Identifier
1376765875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- CRITTENTON
- Practice address
- 10918 Elm Ave
Kansas City, MO 64134-4108 - Phone
- (816) 765-6600
- NPI assigned
- May 3, 2007
- Organization subpart
- Yes
- Parent organization
- CRITTENTON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janine M Hron, MD
- Title
- Ceo
- Phone
- (816) 765-6600
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Social Worker | 104100000X | |||
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Psychiatric Hospital | 283Q00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
10918 Elm Ave
Kansas City, MO 64134-4108
Mailing address
10918 Elm Ave
Kansas City, MO 64134-4108
Phone (816) 765-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507576700 | Medicaid | MO |
Other names 1
- Crittenton Children's Center
National Provider Directory
National Provider Directory- Tax ID family
- Crittenton Center
- Part of
- Crittenton Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1962547646
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1740441740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410393600000",
"number": "1376765875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10918 ELM AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641344108",
"telephone_number": "816-765-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10918 ELM AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641344108",
"telephone_number": "816-765-6600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITTENTON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CRITTENTON",
"enumeration_date": "2007-05-03",
"last_updated": "2014-09-11",
"status": "A",
"authorized_official_last_name": "HRON",
"authorized_official_first_name": "JANINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "816-765-6600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507576700",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crittenton Children's Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.