| Responsive Management Clinic, Inc. | |
|
7501 College Blvd Ste 250 Overland Park KS 66210-2505 | |
| (913) 451-8550 | |
| (913) 469-5266 |
| Full Name | Responsive Management Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7501 College Blvd Ste 250, Overland Park, Kansas |
| Authorized Official Name and Position | John Stephen Hazel (CEO) |
| Authorized Official Contact | 9134518550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Responsive Management Clinic, Inc. 7501 College Blvd. Suite 250 Overland Park KS 66210-1944 Ph: (913) 451-8550 | Responsive Management Clinic, Inc. 7501 College Blvd Ste 250 Overland Park KS 66210-2505 Ph: (913) 451-8550 |
| NPI Number | 1164512562 |
|---|---|
| Provider Enumeration Date | 10/14/2006 |
| Last Update Date | 09/24/2018 |
| Medicare PECOS PAC ID | 9638082605 |
|---|---|
| Medicare Enrollment ID | O20031111000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164512562 | NPI | - | NPPES |
| 200376920A | Medicaid | KS |
| Provider Name | Vishal K Adma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649238221 PECOS PAC ID: 4688576622 Enrollment ID: I20040227000167 |
| Provider Name | Martin B Leichtman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700823390 PECOS PAC ID: 2961432547 Enrollment ID: I20050813000131 |
| Provider Name | John Stephen Hazel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952491367 PECOS PAC ID: 8022921345 Enrollment ID: I20051029000307 |
| Provider Name | Phillip E Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588743538 PECOS PAC ID: 2365576501 Enrollment ID: I20100810000764 |
| Provider Name | Mary P Friesen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831528249 PECOS PAC ID: 4688957178 Enrollment ID: I20170207002307 |
| Provider Name | Erika Kokoruda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881182723 PECOS PAC ID: 1052782042 Enrollment ID: I20230131000725 |
| Provider Name | Rohit Saha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033560651 PECOS PAC ID: 2264725548 Enrollment ID: I20230419002528 |
| Provider Name | Susan Hartman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326427121 PECOS PAC ID: 4183086457 Enrollment ID: I20230817003744 |
| Provider Name | Janny Ketsana Sivilay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821583089 PECOS PAC ID: 2860843604 Enrollment ID: I20240105003016 |
| Provider Name | Amy Chrisandra Baremore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578193637 PECOS PAC ID: 0143643353 Enrollment ID: I20240131000319 |
| Provider Name | Lori Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568186575 PECOS PAC ID: 7012350358 Enrollment ID: I20240203000220 |
| Provider Name | Leslie Rathburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437785664 PECOS PAC ID: 7113363037 Enrollment ID: I20240313002340 |
| Provider Name | John Marra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992433544 PECOS PAC ID: 8921446576 Enrollment ID: I20240402003355 |
| Provider Name | Jared Lee Witt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558038075 PECOS PAC ID: 6901244409 Enrollment ID: I20240403001238 |
| Provider Name | Kenneth Whiteside |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558978429 PECOS PAC ID: 8628416682 Enrollment ID: I20240410000185 |
| Provider Name | Krystal Speier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891071684 PECOS PAC ID: 0345689063 Enrollment ID: I20240415001770 |
| Provider Name | Savana Grace Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164267456 PECOS PAC ID: 5395280564 Enrollment ID: I20240711003070 |
| Provider Name | Sarah Kimberly Chang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982072740 PECOS PAC ID: 6204373418 Enrollment ID: I20240806002710 |
| Provider Name | Desiree Lauren Hanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124658513 PECOS PAC ID: 9537607981 Enrollment ID: I20240815003068 |
| Provider Name | Patrice Wanetta Dumas Veraguth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992900492 PECOS PAC ID: 4981143369 Enrollment ID: I20241002001498 |
| Provider Name | Andrea Mcmahon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528756194 PECOS PAC ID: 2860927498 Enrollment ID: I20241120000159 |
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