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PHOENIX RISING TELEPSYCH
NPI 1144069790
Nurse Practitioner - Psychiatric/Mental Health in Prairie Village, KS

Active since May 22, 2024
6917 TOMAHAWK RD, PRAIRIE VILLAGE, KS 66208(913) 398-2530 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phoenix Rising Telepsych NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RISING TELEPSYCH (NPI 1144069790) is a healthcare organization registered as a psychiatric/mental health in Prairie Village, Kansas and active in the NPI registry since May 2024. The organization lists Jaclyn Mcintyre, Owner, as its authorized official.

NPPES Registry Identity

NPI1144069790
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX RISING TELEPSYCH
Location Address6917 TOMAHAWK RDPrairie Village, KS 66208-2618
Mailing AddressPo Box 8544Prairie Village, KS 66208-0544 · (913) 398-2530
Phone(913) 398-2530
Organization SubpartNo
Authorized OfficialJaclyn McintyreOwner · (913) 398-2530
Enumeration DateMay 22, 2024
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1144069790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6917 TOMAHAWK RD, Prairie Village, KS 66208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Rising Telepsych's NPI number?

The NPI number for Phoenix Rising Telepsych is 1144069790. It was assigned to this organization in the NPPES registry on May 22, 2024.

Where is Phoenix Rising Telepsych located?

Phoenix Rising Telepsych is located at 6917 Tomahawk Rd, Prairie Village, KS 66208. The listed phone number is (913) 398-2530.

What is Phoenix Rising Telepsych's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Phoenix Rising Telepsych was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.