DR. MARK LAWRENCE PROCHASKA M.D. NPI 1417953290

NPI Information

  • NPI: 1417953290
  • Provider Name: DR. MARK LAWRENCE PROCHASKA, M.D.
  • Classification: Psychiatry & Neurology - 2084F0202X
  • Specialization: Forensic Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7011 W 121ST ST
    STE 105
    OVERLAND PARK, KS
    ZIP 66209
  • Phone: (913) 345-1191

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NPI Details

DR. Mark Lawrence Prochaska, M.D. is a forensic psychiatry psychiatry neurology in Overland Park, KS. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. DR. Mark Lawrence Prochaska, M.D. NPI is 1417953290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7011 W 121ST ST
STE 105
OVERLAND PARK, KS
ZIP 66209-029
Phone: (913) 345-1191
Fax: (913) 345-1464

The NPI 1417953290 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Psychotherapy with evaluation and management visit, 1 hour (HCPCS:90838)

The enumeration date for this NPI number is 6/25/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry04-21187KANSASNo
22084P0805XPsychiatry & NeurologyGeriatric Psychiatry04-21187KANSASNo
32084P0802XPsychiatry & NeurologyAddiction Psychiatry04-21187KANSASNo
42084F0202XPsychiatry & NeurologyForensic Psychiatry04-21187KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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