Clarence M. Kelley Detention Services, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

26228-2 Issued in KS

Legal business name

CLARENCE M. KELLEY DETENTION SERVICES, INC.

Doing business as

Forbes Juvenile Attention Center

Practice address

6700 Southwest Topeka Boulevard
Building 379, Forbes Field
Topeka, KS 66214

Phone

(785) 862-5378

Fax

(785) 862-1683

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 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

Terry L. Campbell

Title

Vice-President - Coo

Phone

(785) 232-7445

Specialties & licenses 1

Addresses

Other names 1

• Forbes Juvenile Attention Center Doing business as

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669698759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 FLINT ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662143333",
            "telephone_number": "913-647-7732",
            "fax_number": "913-647-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 SOUTHWEST TOPEKA BOULEVARD",
            "address_2": "BUILDING 379, FORBES FIELD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "785-862-5378",
            "fax_number": "785-862-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE M. KELLEY DETENTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE-PRESIDENT - COO",
        "authorized_official_telephone_number": "785-232-7445"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "KS",
            "license": "26228-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forbes Juvenile Attention Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chu-CHI Chen, MD,PA (Advanced Urology Clinic)
• Ariel Ann Chung, MD
• Angelisa Cintron
• Vicki Claassen, ARNP
• Clarence M. Kelley Detention Services of Topeka, LLC (Transitional Living Center)
• Clarity & Connection LLC
• Michelle Rae Clark-Galvan, APRN, DNP-FNP
• Bethany Anne Clark
• Crystal Lea Clark, APRN-C
• Jaquita B Clark

• Emotionally Disturbed Childrens' Residential Treatment Facility in Topeka, KS
• Providers in Topeka, KS by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Kansas

• 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.