Healthcare Provider Details

I. General information

NPI: 1306296280
Provider Name (Legal Business Name): INTEGRATED PSYCHIATRIC CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 COLLEGE BLVD STE 250
OVERLAND PARK KS
66210-2505
US

IV. Provider business mailing address

8629 BLUEJACKET ST SUITE 102
LENEXA KS
66214-1604
US

V. Phone/Fax

Practice location:
  • Phone: 773-500-2423
  • Fax: 913-677-3282
Mailing address:
  • Phone: 913-890-7087
  • Fax: 913-677-3282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: VISHAL K ADMA
Title or Position: OWNER
Credential:
Phone: 773-500-2423