Healthcare Provider Details

I. General information

NPI: 1487270435
Provider Name (Legal Business Name): INSPIRED PSYCHIATRIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 W 110TH ST STE 270
OVERLAND PARK KS
66210-2468
US

IV. Provider business mailing address

7960 W 135TH ST STE 201
OVERLAND PARK KS
66223-1240
US

V. Phone/Fax

Practice location:
  • Phone: 913-209-1227
  • Fax:
Mailing address:
  • Phone: 913-209-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SHANE ALEXANDER HILLS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 913-209-1227