Lakemary Center

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

2205 Issued in KS

Legal business name

LAKEMARY CENTER

Practice address

100 Lakemary Dr
Paola, KS 66071-1855

Phone

(913) 557-4000

Fax

(913) 557-4910

NPI assigned

Jul 11, 2012

Organization subpart

No

Name

Dr. Courtnie L. Cain, LP

Title

PRTF Clinical Program Coordinator

Phone

(913) 557-4000

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2012.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1992060347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKEMARY DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711855",
            "telephone_number": "913-557-4000",
            "fax_number": "913-557-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKEMARY DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711855",
            "telephone_number": "913-557-4000",
            "fax_number": "913-557-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEMARY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "COURTNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRTF CLINICAL PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "913-557-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KS",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Patrick Kelley, PA
• Lisa Kerley, APRN
• Natalie Sue Ketzner, APRN
• Emily H Kinzer, LPC
• Eranne Kost
• Lakemary Center Inc
• Lakemary Center, Inc.
• Lakemary Center, Inc.
• Lakemary Center, Inc.
• Lakemary Center, Inc.

• All providers in Paola, KS
• Psychiatric Residential Treatment Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.