Organization Active NPI

Kansas City Center for Anxiety Treatment, P.a.

  • Cognitive & Behavioral Psychologist
  • Overland Park, KS
National Provider Identifier
1770811309
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
KANSAS CITY CENTER FOR ANXIETY TREATMENT, P.A.
Practice address
10555 Marty St
Overland Park, KS 66212-2555
Phone
(913) 649-8820
Fax
(913) 649-8823
NPI assigned
Nov 19, 2009
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Mr. Ryan Hale-Gleason, BBA
Title
Director of Operations
Phone
(913) 956-6201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X KS Primary

Addresses

Primary practice location

10555 Marty St
Overland Park, KS 66212-2555

Mailing address

10555 Marty St
Overland Park, KS 66212-2555
Phone (913) 649-8820

Other names 1

  • KCCAT Other name

National Provider Directory

National Provider Directory

Locations

10555 Marty St
Overland Park, KS 66212
Phone (913) 649-8820

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1770811309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 MARTY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122555",
            "telephone_number": "913-649-8820",
            "fax_number": "913-649-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 MARTY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122555",
            "telephone_number": "913-649-8820",
            "fax_number": "913-649-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY CENTER FOR ANXIETY TREATMENT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HALE-GLEASON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "913-956-6201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCCAT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KCCAT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.