Crittenton

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CRITTENTON

Practice address

10918 Elm Ave
Kansas City, MO 64134-4108

Phone

(816) 765-6600

NPI assigned

Feb 21, 2007

Organization subpart

Yes

Parent organization

CRITTENTONAs reported in NPPES

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

Authorized official

Name

Willard G Staron

Title

Cfo

Phone

(816) 765-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crittenton Children Center Doing business as

Tax ID family

Crittenton Center3 organizations share this tax ID, including this one

Part of

Crittenton Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Crittenton

  • Psychologist
  • Kansas City, MO
  • NPI 1376765875
  NPD tax ID
• Crittenton Childrens Center

  • Mental Illness Community Based Residential Treatment Facility
  • Kansas City, MO
  • NPI 1740441740
  NPD tax ID

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1962547646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10918 ELM AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641344108",
            "telephone_number": "816-765-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10918 ELM AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641344108",
            "telephone_number": "816-765-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRITTENTON",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "STARON",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-765-6600"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852443605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crittenton Children Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Criner
• Jamie Crist
• Alexander Brooks Criswell, PHARM.D.
• Sara Crites
• Crittenton
• Crittenton Childrens Center
• Taylor Croan
• Jay D Crockett, DO
• Jon B Cromer, MD
• Heather Cronander, APRN, MSN, FNP-C

• All providers in Kansas City, MO
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.