Healthcare Provider Details

I. General information

NPI: 1912831728
Provider Name (Legal Business Name): NORTHLAND PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 N BELLEVIEW AVE STE 107
KANSAS CITY MO
64116-1502
US

IV. Provider business mailing address

4444 N BELLEVIEW AVE STE 107
KANSAS CITY MO
64116-1502
US

V. Phone/Fax

Practice location:
  • Phone: 913-620-5736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASIM ULUSARAC
Title or Position: OWNER
Credential: MD
Phone: 913-620-5736