Active NPI
Patterns Behavioral Services Missouri, Inc
- Behavior Analyst
- Kansas City, MO
National Provider Identifier
1508369281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- PATTERNS BEHAVIORAL SERVICES MISSOURI, INC
- Practice address
- 435 Nichols Rd Ste 200
Kansas City, MO 64112-2036 - Phone
- (657) 444-9002
- NPI assigned
- Mar 9, 2018
- 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
- Ihab Shahawi
- Title
- Ceo
- Phone
- (760) 631-7550
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X | |||
| Physical Therapist | 225100000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
435 Nichols Rd Ste 200
Kansas City, MO 64112-2036
Mailing address
3230 E Imperial Hwy
Brea, CA 92821-6721
Phone (657) 444-9002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346765013 | Other | PATTERNS BEHAVIORAL SERVICES NPI | |
| 581325995 | Other | CHASE BANK ACCOUNT NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520985600000",
"number": "1508369281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 E IMPERIAL HWY",
"city": "BREA",
"state": "CA",
"postal_code": "928216721",
"telephone_number": "657-444-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 NICHOLS RD STE 200",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641122036",
"telephone_number": "657-444-9002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATTERNS BEHAVIORAL SERVICES MISSOURI, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-14",
"status": "A",
"authorized_official_last_name": "SHAHAWI",
"authorized_official_first_name": "IHAB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-631-7550"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PATTERNS BEHAVIORAL SERVICES NPI",
"identifier": "1346765013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHASE BANK ACCOUNT NUMBER",
"identifier": "581325995",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.