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NPI Code Detail

MEDICARE: WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC.

MEDICARE: WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2251S00000XCommunity/Behavioral Health AgencyKS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629159389
Entity Type Code : Organization
Provider Name (Legal Business Name) : WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 757 ARMSTRONG AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66101-2701
Country : US
Telephone Number : 913-233-3300
Fax Number : 913-233-3390
Provider Business Practice Location Address
First Line : 1301 N 47TH ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66102-1705
Country : US
Telephone Number : 913-287-0007
Fax Number : 913-233-3350
Authorized Official
Title or Position : CEO
Name : DEBORAH MAIWALD
Credential :
Telephone Number : 913-233-3300
Provider Enumeration Date : 10/18/2006
Last Update Date : 06/05/2026

Similar Medicare Providers

1326015017 — NAOMI KAPLAN CSW
Practice Location Address:
1301 N 47TH ST
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66102-1705
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1053485771 — WYANDOT CENTER FOR BEHAVIORAL HEALTHCARE
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1063586121 — MS. ANN MAUREEN KEARY RN
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1689748741 — MS. DEBRA KAY ISHMAEL RN
Practice Location Address:
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1750458105 — DIANNA MICHELLE STENZEL LPC
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1265590673 — KRISTIAN ELIZABETH SHANLINE MSW
Practice Location Address:
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Practice Fax: 913-328-4603

Directions to “WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC. ” Practice Location

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