Marillac

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

LMLP 1034 Issued in KS

Legal business name

MARILLAC

Practice address

8000 W 127TH St
Overland Park, KS 66213-2714

Phone

(816) 508-3300

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

Brian Barash, MD

Title

Medical Director

Phone

(816) 508-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 17L006

Legal name

CORNERSTONES OF CARE MARILLAC

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Sep 15, 2010

Last certification

Jul 5, 2017

Beds

32

Ownership / control type

For profit – individual

Facility address

8000 W 127TH
Overland Park, KS 66213

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1871899559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W 127TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W 127TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132714",
            "telephone_number": "816-508-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILLAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "BARASH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "816-508-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KS",
            "license": "LMLP 1034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Marcos, LMSW
• James L Marcum II, MD
• Shaina Margies
• Liliana Mariaca, LPC
• Lisa Marie, NNP
• Marillac Center, Inc. (Children's Psychiatric Hospital of Marillac)
• Marillac Center, Inc. (Marillac)
• Marillac Center, Inc.
• Marilyn a. Solsky, M.D., LLC
• Clifford S. Marine, M.D.

• Psychiatric Residential Treatment Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatric Residential Treatment Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.