| Sunrise Psychiatry Inc | |
|
6900 College Blvd Ste 740 Overland Park KS 66211-1841 | |
| (913) 333-0448 | |
| (913) 444-2913 |
| Full Name | Sunrise Psychiatry Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6900 College Blvd Ste 740, Overland Park, Kansas |
| Authorized Official Name and Position | Sonni Patrece Elliott-libutsi (OWNER) |
| Authorized Official Contact | 9133330448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Psychiatry Inc 6900 College Blvd Ste 740 Overland Park KS 66211-1841 Ph: (913) 333-0448 | Sunrise Psychiatry Inc 6900 College Blvd Ste 740 Overland Park KS 66211-1841 Ph: (913) 333-0448 |
| NPI Number | 1912656612 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 8527449719 |
|---|---|
| Medicare Enrollment ID | O20220719003268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912656612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sonni P Elliott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609066240 PECOS PAC ID: 5193859676 Enrollment ID: I20121005000610 |
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