Active NPI
Mainstream Mental Health
- Psychiatric/Mental Health Nurse Practitioner
- Atchison, KS
National Provider Identifier
1427890482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MAINSTREAM MENTAL HEALTH
- Practice address
- 1642 Main St # 3
Atchison, KS 66002-2686 - Phone
- (913) 360-0806
- Fax
- (913) 370-8002
- NPI assigned
- Jun 11, 2024
- 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
- Deena Shelton
- Title
- Director/Owner
- Phone
- (913) 360-0806
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1642 Main St # 3
Atchison, KS 66002-2686
Mailing address
1642 Main St # 3
Atchison, KS 66002-2686
Phone (913) 360-0806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1642 Main St
#3
Atchison, KS 66002
Phone (913) 360-0806
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Joseph, MO
- NPI 1821742503
KS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718064000000",
"number": "1427890482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 MAIN ST # 3",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660022686",
"telephone_number": "913-360-0806",
"fax_number": "913-370-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 MAIN ST # 3",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660022686",
"telephone_number": "913-360-0806",
"fax_number": "913-370-8002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINSTREAM MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "DEENA",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "913-360-0806"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atchison, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.