State Line Psychiatric Consultants LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STATE LINE PSYCHIATRIC CONSULTANTS LLC

Practice address

1000 Carondelet Dr
Kansas City, MO 64114-4673

Phone

(816) 607-5700

NPI assigned

Oct 10, 2018

Last updated

Nov 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Harris Kerstein, DONPI 1346473360

Title

Member

Phone

(913) 222-9377

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Andrew Kerstein, DO

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1346473360
  Authorized official Same address or phone

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1639644131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 W 119TH ST # 464",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092013",
            "telephone_number": "954-816-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-607-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE LINE PSYCHIATRIC CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "KERSTEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "913-222-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas Stasic, M.D.
• State Line Eye Care Center, PC (Brookside Eye Care Center)
• State Line Eye Care Center, PC (State Line Eye Care Center Optical)
• State Line Eye Care Center, PC
• State Line Medical Group LLC
• State of Missouri (Kansas City Regional Center)
• State of Missouri (Center for Behavioral Health)
• State of Missouri (Kansas City Regional Center)
• State of Missouri (Developmental Disabilities Behavior Services)
• State of Missouri (Lakeland Group Home)

• Community/Behavioral Health Agency in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.