NPIMap

Organization Active NPI

Mill Creek Outpatient Services LLC

  • Psychiatry Physician
  • Overland Park, KS
National Provider Identifier
1578889770
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MILL CREEK OUTPATIENT SERVICES LLC
Practice address
8787 Ballentine St
Suite 1200
Overland Park, KS 66214-1982
Phone
(913) 339-9933
Fax
(913) 339-9915
NPI assigned
Apr 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Patrick J Kueny
Title
Vice President
Phone
(816) 508-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8787 Ballentine St
Suite 1200
Overland Park, KS 66214-1982

Mailing address

8787 Ballentine St
Suite 1200
Overland Park, KS 66214-1982
Phone (913) 339-9933

National Provider Directory

National Provider Directory

Locations

2330 E Meyer Blvd
Ste 205
Kansas City, MO 64132
Phone (816) 361-3535

2000 SE Blue Pkwy
Ste 250A7
Lees Summit, MO 64063
Phone (816) 282-5880

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1578889770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BALLENTINE ST",
            "address_2": "SUITE 1200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141982",
            "telephone_number": "913-339-9933",
            "fax_number": "913-339-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BALLENTINE ST",
            "address_2": "SUITE 1200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141982",
            "telephone_number": "913-339-9933",
            "fax_number": "913-339-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK OUTPATIENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "KUENY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-508-4090"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.