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EATING DISORDER TREATMENT ASSOCIATES, LLC
NPI 1164891966
Clinic/Center - Mental Health (Including Community Mental Health Center) in Overland Park, KS

NPI Status: Active since September 22, 2015

Contact Information

12140 NALL AVE
SUITE 315
OVERLAND PARK, KS
ZIP 66209
Phone: (314) 968-1900

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Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. NPI Validation
  5. Other Providers Same Location
  6. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About EATING DISORDER TREATMENT ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Eating Disorder Treatment Associates, Llc, a provider established in Overland Park, Kansas operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1164891966 assigned on September 2015. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Kim Mccallum (President)

NPI
1164891966
Provider Name
EATING DISORDER TREATMENT ASSOCIATES, LLC
Entity Type
Organization
Location Address
12140 NALL AVE SUITE 315 OVERLAND PARK, KS 66209
Location Phone
(314) 968-1900
Mailing Address
6100 TOWER CIR SUITE 1000 FRANKLIN, TN 37067
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-22-2015
Last Update Date
09-22-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KIM MCCALLUM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 968-1900

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164891966
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241692912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 9 + 2 + 9 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1164891966 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679536940MR. ALEXANDER C DAVIS MD
Individual		Internal Medicine12140 NALL AVE SUITE 305
OVERLAND PARK, KS 66209
(913) 948-6400
1740476860JONATHAN JACOBS MD LLC
Organization		Clinic/Center12140 NALL AVE SUITE 100
OVERLAND PARK, KS 66209
(913) 451-8500
1629230479DR. DAVID FREDERICK CLARK MD
Individual		Psychiatry & Neurology (Neurology)12140 NALL AVE SUITE 230
OVERLAND PARK, KS 66209
(913) 661-9448
1851737365 SANDRA T HAO M.D.
Individual		Internal Medicine (Endocrinology, Diabetes & Metabolism)12140 NALL AVE SUITE 300
OVERLAND PARK, KS 66209
(913) 451-8500
1093770299 SHADRACH J SMITH JR. M.D.
Individual		Internal Medicine12140 NALL AVE SUITE 100
OVERLAND PARK, KS 66209
(913) 451-8500
1316969884KANSAS CITY INTERNAL MEDICINE PA
Organization		Internal Medicine12140 NALL AVE SUITE 100
OVERLAND PARK, KS 66209
(913) 451-8500
1356700074 TARA S MARCHELLO R.D.
Individual		Dietitian, Registered12140 NALL AVE SUITE 100
OVERLAND PARK, KS 66209
(816) 943-0706
1841654258DR ETS CONCIERGE CARE LLC
Organization		Internal Medicine (Hematology & Oncology)12140 NALL AVE SUITE 305
OVERLAND PARK, KS 66209
(913) 735-3873
1538281365MRS. KIMBERLY A. WERNEL RD, LD,CDE
Individual		Dietitian, Registered12140 NALL AVE STE 100
OVERLAND PARK, KS 66209
(913) 451-8500
1811988819 SAJEEV BALAKRISHNAN MENON MD
Individual		Internal Medicine (Endocrinology, Diabetes & Metabolism)12140 NALL AVE SUITE 300
OVERLAND PARK, KS 66209
(913) 451-8500
1578554440MS. LENNA MALLIN LEVITCH MS, CGC
Individual		Genetic Counselor, MS12140 NALL AVE SUITE 200
OVERLAND PARK, KS 66209
(913) 498-6723
1477655785 LYNNE E KALLENBACH M.D.
Individual		Internal Medicine (Geriatric Medicine)12140 NALL AVE STE 100
OVERLAND PARK, KS 66209
(913) 451-8500
1609312735KC CORE CA LLC
Organization		Chiropractor12140 NALL AVE SUITE 115
OVERLAND PARK, KS 66209
(816) 795-5300
1245221159 MARIE A DELCAMBRE MD
Individual		Internal Medicine12140 NALL AVE SUITE 125
OVERLAND PARK, KS 66209
(913) 451-8500
1255768354 JILL SOENEN
Individual		Nurse Practitioner (Adult Health)12140 NALL AVE SUITE 100
OVERLAND PARK, KS 66209
(913) 451-8500
1518294503 KARI L LIGGETT NP
Individual		Nurse Practitioner12140 NALL AVE STE 305
OVERLAND PARK, KS 66209
(913) 948-6400
1043212210 STACY DAWN YOUNGER MD
Individual		Psychiatry & Neurology (Neurology)12140 NALL AVE SUITE 230
OVERLAND PARK, KS 66209
(913) 661-9434
1750355871 JOSEPH STILWILL MD
Individual		Internal Medicine (Hematology & Oncology)12140 NALL AVE STE 200
OVERLAND PARK, KS 66209
(913) 498-7409
1306952379 JEANINE R. SHOWALTER FNP-BC; AOCNP
Individual		Nurse Practitioner (Family)12140 NALL AVE SUITE 200
OVERLAND PARK, KS 66209
(913) 498-7409
1649207135DR. JOHN MICHAEL SEELEY MD
Individual		Psychiatry & Neurology (Neurology)12140 NALL AVE SUITE 230
OVERLAND PARK, KS 66209
(913) 661-9448

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164891966, enumerated in the NPI registry as an "organization" on September 22, 2015

The provider is located at 12140 Nall Ave Suite 315 Overland Park, Ks 66209 and the phone number is (314) 968-1900

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on September 22, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.