Healthcare Provider Details

I. General information

NPI: 1255296570
Provider Name (Legal Business Name): CITY WIDE PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 FOXRIDGE DR STE 230
MISSION KS
66202-2307
US

IV. Provider business mailing address

5800 FOXRIDGE DR STE 230
MISSION KS
66202-2307
US

V. Phone/Fax

Practice location:
  • Phone: 913-717-5597
  • Fax: 913-246-4850
Mailing address:
  • Phone: 913-717-5597
  • Fax: 913-246-4850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIE ARIN RINARD
Title or Position: OWNER
Credential: PMHNP
Phone: 913-717-5597