Clarence M. Kelley Detention Services of Topeka, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

0043892-004 Issued in KS

Legal business name

CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC

Practice address

2620 SE 23Rd St
Topeka, KS 66605-1747

Phone

(785) 232-7445

Fax

(785) 232-7776

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Terry L. Campbell

Title

Vice-President - Coo

Phone

(785) 232-7445

Specialties & licenses 1

Addresses

Other names 1

• Transitional Living Center Doing business as

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457576381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 FLINT ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662143333",
            "telephone_number": "913-647-7732",
            "fax_number": "913-647-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 SE 23RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666051747",
            "telephone_number": "785-232-7445",
            "fax_number": "785-232-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE M. KELLEY DETENTION SERVICES OF TOPEKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE-PRESIDENT - COO",
        "authorized_official_telephone_number": "785-232-7445"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "KS",
            "license": "0043892-004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitional Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CHS Health Services, LLC
• Chu-CHI Chen, MD,PA
• Ariel Ann Chung, MD
• Angelisa Cintron
• Vicki Claassen, ARNP
• Clarence M. Kelley Detention Services, Inc.
• Clarity & Connection LLC
• Michelle Rae Clark-Galvan, APRN, DNP-FNP
• Bethany Anne Clark
• Crystal Lea Clark, APRN-C

• All providers in Topeka, KS
• Emotionally Disturbed Childrens' Residential Treatment Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.