Organization Active NPI

Mainstream Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Atchison, KS
National Provider Identifier
1427890482
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Deena SheltonNPI 1821742503
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240924003558 KS Part B Supplier - Clinic/Group Practice 6800337387 Receives reassigned benefits from 1 practitioner
Practice locations: Atchison, KS
O20240926000216 MO Part B Supplier - Clinic/Group Practice 6800337387 Receives reassigned benefits from 1 practitioner
Practice locations: Cameron, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.