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CHILD PSYCHIATRY LLC NPI 1568589570


NPI Information

NPI: 1568589570
Provider Name: CHILD PSYCHIATRY LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
30 PLAZA DR
LIBERAL, KS
ZIP 67901
Phone: (620) 626-4600
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CHILD PSYCHIATRY LLC is a psychiatry psychiatry neurology in Liberal, KS. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CHILD PSYCHIATRY LLC NPI is 1568589570. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

30 PLAZA DR
LIBERAL, KS
ZIP 67901-743
Phone: (620) 626-4600
Fax: (620) 626-4602

The provider's authorized official is Michelle Hausheer .
The authorized official title is Owner and has the following contact phone number (620) 626-4600.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 6/2/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0005XPsychiatry & NeurologyNeurodevelopmental Disabilities04-29570KANSASNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry04-29570KANSASNo
32084P0800XPsychiatry & NeurologyPsychiatry04-29570KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1111102MEDICARE ID-TYPE UNSPECIFIEDKANSASGROUP
2104222OTHERKANSASBCBS INDIVIDUAL
3H66272MEDICARE UPINKANSAS
4104222MEDICARE ID-TYPE UNSPECIFIEDKANSASINDIVIDUAL
5111102OTHERKANSASBCBS GROUP

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: 4/28/2024

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