Provider Demographics
NPI:1225057490
Name:JEWISH FAMILY SERVICES
Entity Type:Organization
Organization Name:JEWISH FAMILY SERVICES
Other - Org Name:JEWISH FAMILY & CHILDREN SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:816-333-1772
Mailing Address - Street 1:5801 W 115TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1800
Mailing Address - Country:US
Mailing Address - Phone:816-333-1772
Mailing Address - Fax:
Practice Address - Street 1:425 E 63RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-3386
Practice Address - Country:US
Practice Address - Phone:816-331-1172
Practice Address - Fax:816-331-1776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA5493Medicare PIN
MO21160015OtherBCBS