Mentally Free Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENTALLY FREE PSYCHIATRY LLC

Practice address

1100 Main St
Kansas City, MO 64105-2120

Phone

(470) 944-5699

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Santissa ClappNPI 1467053298

Title

Owner

Phone

(816) 372-5279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mentally Free Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
  • NPI 1336808039

  5991170763

  Same PAC ID

Locations

Practitioners 1

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

• Santissa Tenise Clapp, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1467053298

  MO

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1841994050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W TRINITY PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641052120",
            "telephone_number": "470-944-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALLY FREE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "CLAPP",
        "authorized_official_first_name": "SANTISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-372-5279"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Menke
• Menm, LLC
• Lisa Ann Menninger, MD
• Kathleen J. Menown, CPNP
• Nancy Mense, NP
• Bahyogah Mentee, MD, MS
• Yema Menyonga, DO
• Avner Meoded, MD
• Nativa Meradieu
• Soroush Merchant, MD, MS

• Psychiatric/Mental Health Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.