Psychiatric Practique PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

2003007992 Issued in KS

Legal business name

PSYCHIATRIC PRACTIQUE PA

Practice address

8645 College Blvd
Ste 220
Overland Park, KS 66210-1835

Phone

(913) 696-9908

Fax

(913) 341-8125

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Reginia Brown Carolina, MD

Title

Owner

Phone

(913) 696-9908

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Edmund Thirlkel

  • Clinical Social Worker
  • Overland Park, KS
  • NPI 1942327903
  NPD (past)
• Regina Brown Carolina, MD

  • Child & Adolescent Psychiatry Physician
  • Fresno, CA
  • NPI 1588693188
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801991237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26601",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662256601",
            "telephone_number": "913-696-9908",
            "fax_number": "913-341-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 COLLEGE BLVD",
            "address_2": "STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101835",
            "telephone_number": "913-696-9908",
            "fax_number": "913-341-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC PRACTIQUE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAROLINA",
        "authorized_official_first_name": "REGINIA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-696-9908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "2003007992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "35298015",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Pruitt, DNP, APRN, FNP-BC
• Psota Chiropractic, LLC
• Jeffrey Allen Psota, D.C.
• Psychdoc LLC
• Psychiatric and Counseling Associates LLC
• Psychological Therapy Associates, PA
• Havilah Puderbaugh
• Deanna Pugel, LCP, LMLP, RN, CCM
• Elisabeth Anne Pujado
• David Wayne Pulcher, PH.D.

• Neurology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Neurology Physician 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.