Eating Disorder Treatment Associates, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EATING DISORDER TREATMENT ASSOCIATES, LLC

Doing business as

McCallum Place

Practice address

12140 Nall Avenue
Suite 315
Overland Park, KS 66209

Phone

(615) 861-6000

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

ACADIA HEALTHCARE COMPANY, INC.As reported in NPPES

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

Authorized official

Name

Christopher L Howard

Title

VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• McCallum Place Doing business as

Tax ID family

Eating Disorder Treatment Associates LLC2 organizations share this tax ID, including this one

Part of

Acadia Healthcare

Other organizations with this tax ID 1

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

• Eating Disorder Treatment Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
  • NPI 1164891966
  NPD tax ID

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1568827905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIRCLE",
            "address_2": "SUITE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVENUE",
            "address_2": "SUITE 315",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "615-861-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER TREATMENT ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC.",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCallum Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annabelle Eason, MSW
• Shannon Easterly, LCMFT
• Eastern Kansas Chiropractic LLC
• Sarah Michelle Eatherly, PA-C
• Eating Disorder Treatment Associates, LLC
• Wendy S. Eaves, PHD
• Nelda L. Ebers, CRNA
• Nichole Ebert, C.P.T.A.
• Sarah Ebling
• Marsha L. Eck, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.