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

Dr. Mark Lawrence Prochaska, MD

Individual provider Psychiatry Physician · NPI 1417953290

Dr. Mark Lawrence Prochaska, MD is a Psychiatry Physician in Overland Park, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7011 W 121st St Ste 105
Overland Park, KS 66209-2029
Phone: (913) 345-1191
Fax: (913) 345-1464
Show map & directions

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

Specialties & licences

Forensic Psychiatry Physician (primary) Taxonomy 2084F0202X · Licence 04-21187 (KS)
Psychiatry Physician Taxonomy 2084P0800X · Licence 04-21187 (KS)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 04-21187 (KS)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 04-21187 (KS)

Record details

NPI number1417953290
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address7011 W 121st St, Ste 105, Overland Park, KS 66209-2029

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