LAKEMARY CENTER


Address: 100 Lakemary Dr, Paola, KS 66071-1855
Phone: 9135574000

LAKEMARY CENTER (NPI# 1992060347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility 2205 KS Residential Treatment Facilities

Office Location

Street Address 100 LAKEMARY DR
City PAOLA
State KS
Zip Code 66071-1855

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

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

Providers in the same taxonomy and state

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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City PAOLA
Zip Code 66071

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Dataset Information

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.

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