Organization Active NPI

Sreekumar Nair, MD LLC

  • Psychiatry Physician
  • Lees Summit, MO
National Provider Identifier
1669494258
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SREEKUMAR NAIR, MD LLC
Practice address
4031 NE Lakewood Way
Ste 100
Lees Summit, MO 64064-2060
Phone
(816) 795-1881
Fax
(816) 795-1212
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Sreekumar Nair, MDNPI 1104848191
Title
Owner
Phone
(816) 795-1881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4031 NE Lakewood Way
Ste 100
Lees Summit, MO 64064-2060

Mailing address

4031 NE Lakewood Way
Ste 100
Lees Summit, MO 64064-2060
Phone (816) 795-1881

Other identifiers 1

IdentifierTypeStateIssuer
506054600MedicaidMO

Other names 1

  • Family & Child Mental Health Servics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1669494258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 NE LAKEWOOD WAY",
            "address_2": "STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642060",
            "telephone_number": "816-795-1881",
            "fax_number": "816-795-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 NE LAKEWOOD WAY",
            "address_2": "STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642060",
            "telephone_number": "816-795-1881",
            "fax_number": "816-795-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SREEKUMAR NAIR, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SREEKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-795-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506054600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family & Child Mental Health Servics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.