Healthcare Provider Details

I. General information

NPI: 1609691666
Provider Name (Legal Business Name): SUNFLOWER PEDIATRIC BEHAVIORAL HEALTH, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25055 W VALLEY PKWY STE 220
OLATHE KS
66061-8450
US

IV. Provider business mailing address

25055 W VALLEY PKWY STE 220
OLATHE KS
66061-8450
US

V. Phone/Fax

Practice location:
  • Phone: 913-378-1061
  • Fax: 913-904-1399
Mailing address:
  • Phone: 913-378-1061
  • Fax: 913-904-1399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. EMILY WARNES
Title or Position: PRACTICE OWNER
Credential: PH.D., ABPP
Phone: 913-378-1061