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

Phoenix Rising Telepsych

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1144069790

Phoenix Rising Telepsych is a Psychiatric/Mental Health Nurse Practitioner in Prairie Village, Kansas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6917 Tomahawk Rd
Prairie Village, KS 66208-2618
Phone: (913) 398-2530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1144069790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn McIntyre — Owner · (913) 398-2530
NPI enumeratedMay 22, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing addressPo Box 8544, Prairie Village, KS 66208-0544

Other providers in Prairie Village