Healthcare Provider Details

I. General information

NPI: 1013825694
Provider Name (Legal Business Name): GREAT PLAINS BEHAVIORAL HEALTH SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 HUDSON ST FL 9
NEW YORK NY
10013-1810
US

IV. Provider business mailing address

205 HUDSON ST FL 9
NEW YORK NY
10013-1810
US

V. Phone/Fax

Practice location:
  • Phone: 646-453-6777
  • Fax: 929-596-7897
Mailing address:
  • Phone: 646-453-6777
  • Fax: 929-596-7897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARY CRALL
Title or Position: PRESIDENT
Credential: MD
Phone: 646-941-7645