Organization Active NPI

John a Larsen, PHD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prairie Village, KS
National Provider Identifier
1871760181
Registry record updated Apr 15, 2011
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
JOHN A LARSEN, PHD, LLC
Practice address
5350 W 94TH Ter
Suite 204
Prairie Village, KS 66207-2504
Phone
(913) 322-4235
Fax
(913) 322-4236
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. John A. Larsen, PH.D.
Title
Psychologist
Phone
(913) 322-4235

Specialties & licenses 1

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

Addresses

Primary practice location

5350 W 94TH Ter
Suite 204
Prairie Village, KS 66207-2504

Mailing address

5350 W 94TH Ter
Suite 204
Prairie Village, KS 66207-2504
Phone (913) 322-4235

National Provider Directory

National Provider Directory

Locations

5350 W 94th Ter
Ste 204
Prairie Village, KS 66207
Phone (913) 322-4235

1 Ward Pkwy
Ste 107
Kansas City, MO 64112
Phone (816) 756-1722

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1871760181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 W 94TH TER",
            "address_2": "SUITE 204",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072504",
            "telephone_number": "913-322-4235",
            "fax_number": "913-322-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W 94TH TER",
            "address_2": "SUITE 204",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072504",
            "telephone_number": "913-322-4235",
            "fax_number": "913-322-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A LARSEN, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "913-322-4235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.