NPIMap

Organization Active NPI

Ozanam

  • Psychiatric Residential Treatment Facility
  • Kansas City, MO
National Provider Identifier
1396894119
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
000042582 Issued in MO
Legal business name
OZANAM
Practice address
421 E 137TH St
Kansas City, MO 64145-1455
Phone
(816) 508-3600
Fax
(816) 508-3797
NPI assigned
Jan 10, 2007
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Robert Dale Whitten II, MS, NCC, LPCNPI 1053478230
Title
Vice President
Phone
(816) 508-3600

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
Psychiatric Residential Treatment Facility 323P00000X 000042582 MO Primary

Addresses

Primary practice location

421 E 137TH St
Kansas City, MO 64145-1455

Mailing address

421 E 137TH St
Kansas City, MO 64145-1455
Phone (816) 508-3600

Other identifiers 1

IdentifierTypeStateIssuer
500100300MedicaidMO

National Provider Directory

National Provider Directory

Locations

421 E 137th St
Kansas City, MO 64145
Phone (816) 508-3600

Practitioners & affiliated clinicians

Practitioners 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1396894119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E 137TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451455",
            "telephone_number": "816-508-3600",
            "fax_number": "816-508-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E 137TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451455",
            "telephone_number": "816-508-3600",
            "fax_number": "816-508-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZANAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-508-3600",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MS, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "000042582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500100300",
            "state": "MO"
        }
    ],
    "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 Jul 30, 2015; 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.