Active NPI
Pawnee Mental Health Service, Inc.
- Community/Behavioral Health Agency
- Manhattan, KS
National Provider Identifier
1457040925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PAWNEE MENTAL HEALTH SERVICE, INC.
- Practice address
- 2001 Claflin Rd
Manhattan, KS 66502-3415 - Phone
- (785) 587-4300
- NPI assigned
- May 2, 2023
- 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
- Vanessa M Raub
- Title
- Payroll and Credentialing Manager
- Phone
- (785) 587-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2001 Claflin Rd
Manhattan, KS 66502-3415
Mailing address
PO Box 747
Manhattan, KS 66505-0747
Phone (785) 587-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003919880058 | Medicaid | KS | |
| 30003919880059 | Medicaid | KS |
National Provider Directory
National Provider Directory- Tax ID family
- Pawnee Mental Health SE
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Manhattan, KS
- NPI 1356139158
-
- Substance Abuse Rehabilitation Facility
- Manhattan, KS
- NPI 1326246588
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manhattan, KS
- NPI 1518165778
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Manhattan, KS
- NPI 1750322756
-
- Psychiatry Physician
- Marysville, KS
- NPI 1255373429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1457040925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 747",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665050747",
"telephone_number": "785-587-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CLAFLIN RD",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665023415",
"telephone_number": "785-587-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAWNEE MENTAL HEALTH SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "RAUB",
"authorized_official_first_name": "VANESSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PAYROLL AND CREDENTIALING MANAGER",
"authorized_official_telephone_number": "785-587-4300"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003919880058",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003919880059",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.