| Haven Psychiatric Group Llc | |
|
6550 E 45th St N Bel Aire KS 67226-8813 | |
| (316) 744-2020 | |
| Not Available |
| Full Name | Haven Psychiatric Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6550 E 45th St N, Bel Aire, Kansas |
| Authorized Official Name and Position | Shean Mcknight (PSYCHIATRIST) |
| Authorized Official Contact | 5806959923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Psychiatric Group Llc 510 N Bracken St Wichita KS 67206-7800 Ph: (580) 695-9233 | Haven Psychiatric Group Llc 6550 E 45th St N Bel Aire KS 67226-8813 Ph: (316) 744-2020 |
| NPI Number | 1619661022 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 4183085418 |
|---|---|
| Medicare Enrollment ID | O20230802001815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619661022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Shean Robert Mcknight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740577824 PECOS PAC ID: 2062669716 Enrollment ID: I20150302000692 |
| Provider Name | Walter K Kalu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942646252 PECOS PAC ID: 8022252477 Enrollment ID: I20160921002031 |
| Provider Name | Selia Y Whitney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275982266 PECOS PAC ID: 7012201759 Enrollment ID: I20190418001323 |
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