| Wyandot Inc. | |
|
1301 N 47th St Kansas City KS 66102-1705 | |
| (913) 287-0007 | |
| (913) 233-3350 |
| Full Name | Wyandot Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1301 N 47th St, Kansas City, Kansas |
| Authorized Official Name and Position | Deborah Maiwald (CEO) |
| Authorized Official Contact | 9132333300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyandot Inc. 757 Armstrong Ave Kansas City KS 66101-2701 Ph: (913) 233-3300 | Wyandot Inc. 1301 N 47th St Kansas City KS 66102-1705 Ph: (913) 287-0007 |
| NPI Number | 1629159389 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 5496745325 |
|---|---|
| Medicare Enrollment ID | O20051109000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629159389 | NPI | - | NPPES |
| 30003913810001 | Medicaid | KS | |
| 100098080C | Medicaid | KS | |
| 100098080A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Kansas) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Regina Brown Carolina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588693188 PECOS PAC ID: 8628047750 Enrollment ID: I20050517000928 |
| Provider Name | Deborah A Paarman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093871915 PECOS PAC ID: 9638163652 Enrollment ID: I20051103000234 |
| Provider Name | Kristin Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972529709 PECOS PAC ID: 6406955533 Enrollment ID: I20070629000559 |
| Provider Name | Joan E Anderson Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477605467 PECOS PAC ID: 7517059488 Enrollment ID: I20070823000092 |
| Provider Name | Mark A Cannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720169295 PECOS PAC ID: 6204833379 Enrollment ID: I20121020000016 |
| Provider Name | Cord Huston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710114715 PECOS PAC ID: 7719104058 Enrollment ID: I20140811002395 |
| Provider Name | Cora Evelyn Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134483662 PECOS PAC ID: 2961621743 Enrollment ID: I20140909001537 |
| Provider Name | Eberechi Osuagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457741175 PECOS PAC ID: 1456678317 Enrollment ID: I20150402001658 |
| Provider Name | Christie Marie Mensch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164524898 PECOS PAC ID: 5092860189 Enrollment ID: I20150924000754 |
| Provider Name | Kristin Antony |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1972529709 PECOS PAC ID: 6406955533 Enrollment ID: I20200221000214 |
| Provider Name | Matthew Loehr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851573828 PECOS PAC ID: 4789918822 Enrollment ID: I20200423000239 |
| Provider Name | Louise Muhozi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114305331 PECOS PAC ID: 1557784022 Enrollment ID: I20200701001213 |
| Provider Name | Angela M Candelario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316375835 PECOS PAC ID: 9234540410 Enrollment ID: I20201118002760 |
| Provider Name | Jacey Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962995811 PECOS PAC ID: 0143631325 Enrollment ID: I20201118002766 |
| Provider Name | Paula Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295110286 PECOS PAC ID: 5395088140 Enrollment ID: I20201118002821 |
| Provider Name | Dereck L Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104289339 PECOS PAC ID: 3072858141 Enrollment ID: I20201203003032 |
| Provider Name | Georgette Musanase Kairanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861008732 PECOS PAC ID: 8527470376 Enrollment ID: I20201218001976 |
| Provider Name | Kayana M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760013569 PECOS PAC ID: 7315344371 Enrollment ID: I20210920000232 |
| Provider Name | Emily Durall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366012270 PECOS PAC ID: 9234529546 Enrollment ID: I20211130003015 |
| Provider Name | Connie Putthoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053464297 PECOS PAC ID: 7113996331 Enrollment ID: I20220307000421 |
| Provider Name | Kelsey Hamel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598257305 PECOS PAC ID: 6002201506 Enrollment ID: I20220321000420 |
| Provider Name | Lamanda Tessen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972164150 PECOS PAC ID: 1254726342 Enrollment ID: I20220329000264 |
| Provider Name | Thuan Quach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942945506 PECOS PAC ID: 1759768427 Enrollment ID: I20220518001615 |
| Provider Name | Meshon Pouncil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528766599 PECOS PAC ID: 6608249388 Enrollment ID: I20230228000562 |
| Provider Name | Rohit Saha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033560651 PECOS PAC ID: 2264725548 Enrollment ID: I20230419002528 |
| Provider Name | Molly Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710661228 PECOS PAC ID: 1052774023 Enrollment ID: I20230824001825 |
| Provider Name | Steven Jobe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467111294 PECOS PAC ID: 0143664110 Enrollment ID: I20240217000151 |
| Provider Name | Laura Henness |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265664882 PECOS PAC ID: 3870937840 Enrollment ID: I20240217000167 |
| Provider Name | Jordan Graves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598306888 PECOS PAC ID: 3779929930 Enrollment ID: I20240311000188 |
| Provider Name | Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396288445 PECOS PAC ID: 2860838042 Enrollment ID: I20240311000982 |
Wyandot Center For Behavioral Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 N 47th St, Kansas City, KS 66102 Phone: 913-287-0007 | |
Thrive Restorative Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1911 North 62nd Street, Kansas City, KS 66102 Phone: 913-303-7416 | |
Kansas Treatment Servics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 N 5th St, Kansas City, KS 66101 Phone: 913-342-0888 Fax: 913-342-2644 | |
Psychiatric Care Professionals P.a Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4000 | |
Kvc Hospitals Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Brenner Dr, Kansas City, KS 66104 Phone: 913-322-4900 | |
Best Choice Therapy Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1232 N 79th St, Kansas City, KS 66112 Phone: 913-287-3500 Fax: 913-287-5559 | |
New Perspectives Counseling, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 S 18th St, Ste 200, Kansas City, KS 66102 Phone: 801-502-8492 |