Provider Demographics
NPI:1295878155
Name:PSYCHIATRIC AND FAMILY SERVICES OF GREATER KANSAS CITY, LLC
Entity type:Organization
Organization Name:PSYCHIATRIC AND FAMILY SERVICES OF GREATER KANSAS CITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-648-2892
Mailing Address - Street 1:8700 STATE LINE ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1500
Mailing Address - Country:US
Mailing Address - Phone:913-648-2892
Mailing Address - Fax:913-648-6139
Practice Address - Street 1:8700 STATE LINE ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-1500
Practice Address - Country:US
Practice Address - Phone:913-648-2892
Practice Address - Fax:913-648-6139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-239802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS22470017OtherBCKC
KS22470017OtherBCKC