Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Midwest Psychiatric PA

Organization Psychiatry Physician · NPI 1154535060

Midwest Psychiatric PA is a Psychiatry Physician in Prairie Village, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5300 W 94th Ter Ste 200
Prairie Village, KS 66207-2536
Phone: (913) 381-8555
Fax: (913) 677-2112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0427007 (KS)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 0427007 (KS)

Record details

NPI number1154535060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Magdalen Gustilo — Director Of Payer Relations · (714) 568-7667
Other names Awakenings
NPI enumeratedMay 9, 2007
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address5300 W 94th Ter Ste 200, Prairie Village, KS 66207-2536

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