DR. MARK LAWRENCE PROCHASKA (M.D.) – Forensic Psychiatry Physician, NPI 1417953290

DR. MARK LAWRENCE PROCHASKA (M.D.) is a healthcare provider. based in Overland park, Kansas. specializing in Forensic Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 04-21187 (KS). The NPI Number for DR. MARK LAWRENCE PROCHASKA (M.D.) is 1417953290

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK LAWRENCE PROCHASKA (M.D.)
NPI
1417953290
Phone
(913) 345-1191
Address
7011 W 121ST ST
Enumeration Date
25 June 2005
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9133451191
Graduation Year
1984 (42 years ago)
PAC ID
1759353782
Professional Enrollment ID
I20040810001348
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK LAWRENCE PROCHASKA (M.D.)

  • 7011, West 121st Street, Overland Park, Johnson County, Kansas, 66209, United States

    STE 105

    OVERLAND PARK, KS 662092029

    Phone: (913) 345-1191

    Fax: (913) 345-1464

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66209)

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Frequently asked questions

What number should I use to identify DR. MARK LAWRENCE PROCHASKA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1417953290 for DR. MARK LAWRENCE PROCHASKA (M.D.).
Is DR. MARK LAWRENCE PROCHASKA (M.D.)'s NPI status active today?
Active status means DR. MARK LAWRENCE PROCHASKA (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. MARK LAWRENCE PROCHASKA (M.D.) provide?
DR. MARK LAWRENCE PROCHASKA (M.D.)'s profile centers on Forensic Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARK LAWRENCE PROCHASKA (M.D.) tied to Overland Park, Kansas?
If you are local to Overland Park, Kansas, DR. MARK LAWRENCE PROCHASKA (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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