NPIMap

Organization Active NPI

Kansas City Treatment Center

  • Methadone Clinic
  • Kansas City, KS
National Provider Identifier
1669528097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
380 Issued in KS
Legal business name
KANSAS CITY TREATMENT CENTER
Practice address
1125 N 5TH St
Kansas City, KS 66101-2305
Phone
(913) 342-0888
Fax
(913) 342-2644
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phillip Herschman, PHD
Title
Otp Division President
Phone
(760) 918-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 380 KS Primary

Addresses

Primary practice location

1125 N 5TH St
Kansas City, KS 66101-2305

Mailing address

1125 N 5TH St
Kansas City, KS 66101-2305
Phone (913) 342-0888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669528097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N 5TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012305",
            "telephone_number": "913-342-0888",
            "fax_number": "913-342-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N 5TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012305",
            "telephone_number": "913-342-0888",
            "fax_number": "913-342-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSCHMAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OTP DIVISION PRESIDENT",
        "authorized_official_telephone_number": "760-918-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "KS",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.