Shawnee Mission Psychiatric Services, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0423898 Issued in KS

Legal business name

SHAWNEE MISSION PSYCHIATRIC SERVICES, LLC

Practice address

8340 Mission Rd Ste 210
Prairie Village, KS 66206-1362

Phone

(913) 642-0100

Fax

(913) 642-0176

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Umar Wadood, M.D.NPI 1093878928

Title

Owner

Phone

(913) 642-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Umar Wadood, MD

  • Psychiatry Physician
  • Prairie Vilage, KS
  • NPI 1093878928
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1467866954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD STE 210",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061362",
            "telephone_number": "913-642-0100",
            "fax_number": "913-642-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD STE 210",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061362",
            "telephone_number": "913-642-0100",
            "fax_number": "913-642-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE MISSION PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "WADOOD",
        "authorized_official_first_name": "UMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-642-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0423898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Thomas Severns
• Rachel Seymour, M.D.
• Rupali Shah, RD
• Anna Sharp
• Shawn L Willson M.D., LLC
• Stephanie Marisa Shelby
• Avery Shields, RBT
• Shrink Inc.
• Heath Shroyer, LMT
• Christy J Siebert, DPT

• Psychiatry Physician in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.