NPIMap

Organization Active NPI

Cottonwood Springs Physician Group LLC

Doing business as Cottonwood Springs Physician Group

  • Psychiatry Physician
  • Olathe, KS
National Provider Identifier
1538533443
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COTTONWOOD SPRINGS PHYSICIAN GROUP LLC
Doing business as
Cottonwood Springs Physician Group
Practice address
13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone
(913) 353-3000
Fax
(913) 353-3001
NPI assigned
Nov 17, 2015
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRINGSTONE HOLDINGS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Michael Delaney
Title
Cfo
Phone
(913) 353-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

13351 S Arapaho Dr
Olathe, KS 66062-1520

Mailing address

100 Hazel LN Ste 305
Sewickley, PA 15143-1249
Phone (412) 588-3546

Other identifiers 1

IdentifierTypeStateIssuer
201146370AMedicaidKS

Other names 1

  • Cottonwood Springs Physician Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119000290 KS Part B Supplier - Clinic/Group Practice 6800199274 Receives reassigned benefits from 36 practitioners
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory
Tax ID family
Cottonwood Springs Physician Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 Hazel Ln
Ste 305
Sewickley, PA 15143

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1538533443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAZEL LN STE 305",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431249",
            "telephone_number": "412-588-3546",
            "fax_number": "412-710-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13351 S ARAPAHO DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621520",
            "telephone_number": "913-353-3000",
            "fax_number": "913-353-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD SPRINGS PHYSICIAN GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRINGSTONE HOLDINGS, INC",
        "enumeration_date": "2015-11-17",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "913-353-3000"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201146370A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonwood Springs Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cottonwood Springs Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.