Individual provider Active NPI

Rosemarie A Romain-Tyson, MD

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1780697086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MO118989 Issued in MO
Practice address
2211 Charlotte St
Truman Med CT
Kansas City, MO 64108-2733
Phone
(816) 404-8632
Fax
(816) 404-8637
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MO118989 MO Primary

Addresses

Primary practice location

2211 Charlotte St
Truman Med CT
Kansas City, MO 64108-2733

Mailing address

8404 W 129 Ter
Overland Park, KS 66213
Phone (913) 645-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100108000252 KS Practitioner - Psychiatry 4688715949
I20170306000086 MO Practitioner - Psychiatry 4688715949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9237 Ward Pkwy
Suite 240
Kansas City, MO 64114-3365
Phone (816) 321-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MO118989MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Jan 25, 2017 Accepting new patients
Rediscover Current Accepting new patients
Renu Brain Treatment Center, LLC Psychiatry CurrentSince Jul 21, 2021 Accepting new patients

Locations

9233 Ward Pkwy
Ste 125
Kansas City, MO 64114
Phone (816) 333-1172

9237 Ward Pkwy
Ste 240
Kansas City, MO 64114
Phone (816) 321-1414

1000 E 24th St
Kansas City, MO 64108
Phone (816) 512-7000

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780697086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 W 129 TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-645-2369",
            "fax_number": "816-404-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHARLOTTE ST",
            "address_2": "TRUMAN MED CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082733",
            "telephone_number": "816-404-8632",
            "fax_number": "816-404-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAIN-TYSON",
        "first_name": "ROSEMARIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "MO118989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.