Prairie Village Behavioral Health

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0294 Issued in KS

Legal business name

PRAIRIE VILLAGE BEHAVIORAL HEALTH

Practice address

26431 W 109TH Ter
Olathe, KS 66061-8779

Phone

(785) 266-0031

Fax

(785) 266-4225

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Kim Weaver

Title

Billing Manager

Phone

(785) 266-0031

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1821252255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3905",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660460905",
            "telephone_number": "785-266-0031",
            "fax_number": "785-266-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26431 W 109TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618779",
            "telephone_number": "785-266-0031",
            "fax_number": "785-266-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VILLAGE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "785-266-0031",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "0294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "25212023",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "119010",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily J Potter, LMFT
• Meshon Pouncil
• Dusti D. Powell, MS, TLMFT
• Michelle Leann Powell, LMSW
• Prairie Pointe Orthodontics, PA
• Lukkamol Prapkree, PHD, RDN, LD
• Nick A. Prater, D.D.S.
• Sarah Prater, BA
• Myranda Prather, DNP, APRN, FNP-C
• Preferred Pediatrics

• Psychologist in Olathe, KS
• Providers in Olathe, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.