Active NPI
Brad Whaley, LMSW
- Mental Illness Community Based Residential Treatment Facility
- Topeka, KS
National Provider Identifier
1740601475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 6213
- Practice address
- 3715 SW Sena Dr
Topeka, KS 66604-1754 - Phone
- (785) 249-8813
- NPI assigned
- Dec 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 6213 | KS | Primary |
Addresses
Primary practice location
3715 SW Sena Dr
Topeka, KS 66604-1754
Mailing address
3715 SW Sena Dr
Topeka, KS 66604-1754
Phone (785) 249-8813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6213 | KS | MD | Mental Illness Community Based Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387843200000",
"number": "1740601475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 SW SENA DR",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041754",
"telephone_number": "785-249-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 SW SENA DR",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041754",
"telephone_number": "785-249-8813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "BRAD",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-24",
"last_updated": "2013-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "KS",
"license": "6213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.