LAKEMARY CENTER (NPI# 1992060347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992060347 |
Entity Type | Organization |
Organization Name | LAKEMARY CENTER |
Practice Address |
100 Lakemary Dr Paola KS 66071-1855 |
Practice Telephone | 9135574000 |
Practice Fax Number | 9135574910 |
Mailing Telephone | 9135574000 |
Mailing Fax Number | 9135574910 |
Enumeration Date | 2012-07-11 |
Last Update Date | 2012-07-11 |
Authorized Official Name | DR. COURTNIE L. CAIN (PRTF CLINICAL PROGRAM COORDINATOR) |
Authorized Official Telephone | 9135574000 |
Authorized Official Credential | LP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | 2205 | KS | Residential Treatment Facilities |
Street Address |
100 LAKEMARY DR |
City | PAOLA |
State | KS |
Zip Code | 66071-1855 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457326092 | Lakemary Center, Inc. | Home Health | 100 Lakemary Dr, Paola, KS 66071-1855 | 2006-02-17 |
1033751714 | Megen Male | Nurse Practitioner | 100 Lakemary Dr, Paola, KS 66071-1855 | 2019-10-14 |
1598321259 | Lindsey Schultz | Social Worker | 100 Lakemary Dr, Paola, KS 66071-1855 | 2019-05-17 |
1073050548 | Kelccey Manchester | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2017-01-23 |
1326581075 | Keslie Humburg | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2016-11-29 |
1023470820 | Hannah Reed | Marriage & Family Therapist | 100 Lakemary Dr, Paola, KS 66071-1855 | 2016-03-22 |
1558762898 | Fe Lizette Vergara Douglas | Speech-Language Pathologist | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-09-05 |
1922422948 | James E Rauch | Social Worker | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-02-11 |
1659793792 | Anna Toren | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2014-01-08 |
1972856748 | Mary K Egger | Counselor | 100 Lakemary Dr, Paola, KS 66071-1855 | 2012-10-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
1114139870 | Agape, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16046 W 343rd St, Paola, KS 66071 | 2007-05-04 |
1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
Find all providers in zip 66071 |
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 |
1871899559 | Marillac | Psychiatric Residential Treatment Facility | 8000 W 127th St, Overland Park, KS 66213-2714 | 2011-01-28 |
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 |
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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.