NPIMap

Organization Active NPI

Summit Behavioral Services, LLC

  • Assistant Behavior Analyst
  • Kansas City, MO
National Provider Identifier
1376870865
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
SUMMIT BEHAVIORAL SERVICES, LLC
Practice address
1460 NW Vivion Rd
Kansas City, MO 64118
Phone
(816) 853-0946
Fax
(816) 396-8809
NPI assigned
Nov 4, 2009
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Maria A Kratofil
Title
Insurance Coordinator
Phone
(816) 853-0946

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 106E00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1460 NW Vivion Rd
Kansas City, MO 64118

Mailing address

1460 NW Vivion Rd
Kansas City, MO 64118-4555
Phone (816) 853-0946

Other practice location 1

1460 NW Vivion Rd
Kansas City, MO 64118
Phone (816) 853-0946

National Provider Directory

National Provider Directory

Locations

1460 NW Vivion Rd
Kansas City, MO 64118

Practitioners & affiliated clinicians

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1376870865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NW VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184555",
            "telephone_number": "816-853-0946",
            "fax_number": "816-396-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NW VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-853-0946",
            "fax_number": "816-396-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 NW Vivion Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64118",
            "country_code": "US",
            "telephone_number": "816-853-0946",
            "fax_number": "816-396-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "KRATOFIL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "816-853-0946"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2019; 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.