Provider Demographics
NPI:1629510417
Name:WEXLER FAMILY PSYCHIATRY
Entity Type:Organization
Organization Name:WEXLER FAMILY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAIN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICAELA
Authorized Official - Middle Name:P
Authorized Official - Last Name:WEXLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:913-948-0688
Mailing Address - Street 1:12306 PAWNEE LN
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-1407
Mailing Address - Country:US
Mailing Address - Phone:913-948-0688
Mailing Address - Fax:913-261-9634
Practice Address - Street 1:4203 BOOTH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-3116
Practice Address - Country:US
Practice Address - Phone:913-948-0688
Practice Address - Fax:913-261-9634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05337502084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty