NPIMap

Organization Active NPI

Bert Nash Community Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, KS
National Provider Identifier
1841281805
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BERT NASH COMMUNITY MENTAL HEALTH CENTER INC
Practice address
200 Maine St
Ste a
Lawrence, KS 66044-1368
Phone
(785) 843-9192
Fax
(785) 843-6744
NPI assigned
Oct 31, 2005
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Amy Sutton Finkeldei
Title
Dir of Performance & Quality Improv
Phone
(785) 830-1796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X KS Primary

Addresses

Primary practice location

200 Maine St
Ste a
Lawrence, KS 66044-1368

Mailing address

200 Maine St
Ste a
Lawrence, KS 66044-1368
Phone (785) 843-9192

Other identifiers 2

IdentifierTypeStateIssuer
100097940AMedicaidKS
CG6599OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000772 KS Part B Supplier - Clinic/Group Practice 5799693834 Receives reassigned benefits from 64 practitioners
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 69

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.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1841281805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE ST",
            "address_2": "STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441368",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST",
            "address_2": "STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441368",
            "telephone_number": "785-843-9192",
            "fax_number": "785-843-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT NASH COMMUNITY MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-02-14",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "FINKELDEI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "SUTTON",
        "authorized_official_title_or_position": "DIR OF PERFORMANCE & QUALITY IMPROV",
        "authorized_official_telephone_number": "785-830-1796"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097940A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG6599",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.