MARILLAC (NPI# 1871899559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871899559 |
| Entity Type | Organization |
| Organization Name | MARILLAC |
| Practice Address |
8000 W 127th St Overland Park KS 66213-2714 |
| Practice Telephone | 8165083300 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |
| Authorized Official Name | BRIAN BARASH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8165083300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | LMLP 1034 | KS | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MARILLAC APARTMENTS, LLC | 3 Meadow Drive, Fayetteville, New York 13066 |
| System for Award Management (SAM) Entities | MARILLAC COMMUNITY HEALTH CENTERS | 3201 S Carrollton Ave, New Orleans, LA 70118-4307 |
| System for Award Management (SAM) Entities | MARILLAC HEALTH | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Street Address |
8000 W 127TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361119 | Marillac Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8000 W 127th St, Overland Park, KS 66213-2714 | 2006-01-20 |
| 1679196174 | Dimas Omar Benitez | Behavior Technician | 8000 W 127th St, Overland Park, KS 66213-2714 | 2020-05-19 |
| 1497287783 | Jordan Pener | Counselor | 8000 W 127th St, Overland Park, KS 66213-2714 | 2017-03-28 |
| 1982141420 | Jason Southard | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2017-01-23 |
| 1982066759 | Britney Compton | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2016-03-22 |
| 1881088581 | Ashley Dugan | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2015-03-20 |
| 1942606280 | Katharine Olson | Counselor | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-11-14 |
| 1548680507 | Caitlin Mellencamp Winder | Psychiatry & Neurology | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-04-17 |
| 1023436862 | David Strother | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-03-30 |
| 1689001612 | Sharnee Garner | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2013-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710172473 | Sequel of Kansas, LLC | Psychiatric Residential Treatment Facility | 2050 W. 11th St N, Wichita, KS 67203 | 2007-09-06 |
| 1013137397 | Lemon Tree Enterprises, LLC | Psychiatric Residential Treatment Facility | 2050 W 11th St N, Wichita, KS 67203 | 2007-04-27 |
| 1992828362 | The Sweet Life At Shawnee | Psychiatric Residential Treatment Facility | 11400 W 65th St, Shawnee, KS 66203-5555 | 2007-04-09 |
| 1639225667 | Judge James V Riddel Boys Ranch | Psychiatric Residential Treatment Facility | 25331 W 39th St S, Goddard, KS 67052-9244 | 2007-01-25 |
| 1174598395 | Lemontree Enterprises, LLC Dba Liberty Juvenile Services & Treatment | Psychiatric Residential Treatment Facility | 2050 W 11th Street N, Wichita, KS 67203 | 2006-02-21 |
| 1225379324 | Riverside Academy | Psychiatric Residential Treatment Facility | 2050 W 11th St N, Wichita, KS 67203-3006 | 2013-03-14 |
| 1992060347 | Lakemary Center | Psychiatric Residential Treatment Facility | 100 Lakemary Dr, Paola, KS 66071-1855 | 2012-07-11 |
| 1316269368 | Kvc Wheatland Psychiatric Hospital | Psychiatric Residential Treatment Facility | 205 E 7th St, Hays, KS 67601-4907 | 2010-02-18 |
| 1922252071 | Kvc Hospitals Inc | Psychiatric Residential Treatment Facility | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2008-11-14 |
| 1306017082 | Amber Giron | Psychiatric Residential Treatment Facility | 480 S Rogers Rd, Olathe, KS 66062-1706 | 2008-03-20 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.