Active NPI
State of Missouri
Doing business as Paseo Clinic
- Substance Use Disorder Rehabilitation Clinic/Center
- Kansas City, MO
National Provider Identifier
1609954809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- EXEMPT
- Legal business name
- STATE OF MISSOURI
- Doing business as
- Paseo Clinic
- Practice address
- 1000 E 24TH St
Kansas City, MO 64108-2776 - Phone
- (816) 512-7143
- NPI assigned
- Nov 2, 2006
- Last updated
- Oct 27, 2020
- Organization subpart
- Yes
- Parent organization
- STATE OF MISSOURI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Molly Jane Boeckmann
- Title
- Director of Administrative Services
- Phone
- (573) 751-4055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | EXEMPT | MO | Primary |
Addresses
Primary practice location
1000 E 24TH St
Kansas City, MO 64108-2776
Mailing address
PO Box 687
Jefferson City, MO 65102-0687
Phone (573) 751-3398
Other names 1
- Paseo Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Missouri Tuberculosis Lab
- Part of
- Missouri Tuberculosis Lab
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Poplar Bluff, MO
- NPI 1568601482
-
dba Higginsville Habilitation Center-Crisis
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Higginsville, MO
- NPI 1487931358
-
dba Marshall Habilitation Center-Home 1
- Developmentally Disabled Services Day Training Agency
- Marshall, MO
- NPI 1518027127
-
dba Nevada Habilitation Center-Crisis
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Nevada, MO
- NPI 1528333085
-
dba Southeast Missouri Residential Services-Sikeston Prof Grp
- Family Medicine Physician
- Sikeston, MO
- NPI 1528348430
-
dba Central Missouri Regional Center
- Developmentally Disabled Services Day Training Agency
- Columbia, MO
- NPI 1548322605
-
dba St Louis Forensic Treatment Center
- Psychiatric Hospital
- Saint Louis, MO
- NPI 1578518239
-
dba Kirksville Regional Center
- Developmentally Disabled Services Day Training Agency
- Kirksville, MO
- NPI 1578623609
-
dba Southeast Missouri Residential Services-Sikeston
- Intellectual Disabilities Intermediate Care Facility
- Sikeston, MO
- NPI 1598844029
-
dba Southeast Missouri Residential Services ISL
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Poplar Bluff, MO
- NPI 1598906372
-
dba Center for Behavioral Health
- Case Management Agency
- Kansas City, MO
- NPI 1609087584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1609954809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651020687",
"telephone_number": "573-751-3398",
"fax_number": "573-526-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 24TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082776",
"telephone_number": "816-512-7143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF MISSOURI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STATE OF MISSOURI",
"enumeration_date": "2006-11-02",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "BOECKMANN",
"authorized_official_first_name": "MOLLY",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "573-751-4055"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "MO",
"license": "EXEMPT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paseo Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Paseo Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kansas City, MO
- State of Missouri (Kansas City Regional Center)
- State of Missouri (Developmental Disabilities Behavior Services)
- State of Missouri (Lakeland Group Home)
- State of Missouri (Center for Behavioral Health)
- State of Missouri (Center for Behavioral Health)
- State of Missouri (Center for Behavioral Medicine)
- State of Missouri (Center for Behavioral Medicine)
- State of Missouri (Esperanza Group Home)
- Angela Stathopoulos
- Regina Staves, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.