Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK LAWRENCE PROCHASKA, M.D.
Active Sole ProprietorDR. MARK LAWRENCE PROCHASKA, M.D. is a Forensic Psychiatry healthcare provider located in OVERLAND PARK, Kansas. NPI 1417953290 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychiatry · OVERLAND PARK, KS
Registration Details
- NPI Number
- 1417953290
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2005 (21.156796579432 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
04-21187 (KS)04-21187 (KS)04-21187 (KS)04-21187 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7011 W 121ST STSTE 105OVERLAND PARK, KS, 662092029Browse KS providers · Browse ZIP 66209
- Phone
- 9133451191
- Fax
- 9133451464
- Primary Specialty
-
Forensic Psychiatry
2084F0202X
- Additional Specialty
- Geriatric Psychiatry
- Additional Specialty
- Psychiatry & Neurology
- Additional Specialty
- Forensic Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.