Organization Active NPI

Ilardi Psychiatric Services, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Lawrence, KS
National Provider Identifier
1477872992
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Legal business name
ILARDI PSYCHIATRIC SERVICES, LLC
Practice address
1311 Wakarusa Dr
Suite 2117
Lawrence, KS 66049-4798
Phone
(785) 312-9866
Fax
(785) 246-5747
NPI assigned
May 24, 2010
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Maria Ilardi, ARNPNPI 1023089018
Title
Psychiatric Clinical Nurse Speciali
Phone
(785) 312-9866

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
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X Primary

Addresses

Primary practice location

1311 Wakarusa Dr
Suite 2117
Lawrence, KS 66049-4798

Mailing address

1311 Wakarusa Dr
Suite 2117
Lawrence, KS 66049-4798
Phone (785) 312-9866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818000139 KS Part B Supplier - Clinic/Group Practice 3375677933 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

1311 Wakarusa Dr
Ste 2117
Lawrence, KS 66049
Phone (785) 312-9866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1477872992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR",
            "address_2": "SUITE 2117",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494798",
            "telephone_number": "785-312-9866",
            "fax_number": "785-246-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR",
            "address_2": "SUITE 2117",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494798",
            "telephone_number": "785-312-9866",
            "fax_number": "785-246-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILARDI PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "ILARDI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PSYCHIATRIC CLINICAL NURSE SPECIALI",
        "authorized_official_telephone_number": "785-312-9866",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.