Organization
OTHMER PSYCHIATRIC CENTER
Active
Other names
Picture Hills Psychiatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIEGLINDE C OTHMER (OWNER)
(816) 746-5555
Entity
Organization
Contact information
Practice address
5709 NW 64TH TER, KANSAS CITY, MO 64151-2382
(816) 746-5555
(816) 746-5996
Mailing address
5709 NW 64TH TER, KANSAS CITY, MO 64151-2382
(816) 746-5555
(816) 746-5996
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1473
MO
1041C0700X
Clinical Social Worker
003750
MO
2084P0800X
Psychiatry Physician
2005021811
MO
2084P0800X
Psychiatry Physician
Primary
33862
MO
364S00000X
Clinical Nurse Specialist
2005027490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005021811
STATE OF MO MD LICENSE
MO
05
—
202302113
—
MO
05
—
497729418
—
MO
01
—
MD-063-511L
CHILD AND ADOLESCENT PSYC
MO
Enumeration date
08/05/2007
Last updated
06/08/2010
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