NPIMap

Organization Active NPI

BJC Behavioral Health

  • Community/Behavioral Health Agency
  • Farmington, MO
National Provider Identifier
1053646380
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BJC BEHAVIORAL HEALTH
Practice address
1085 Maple Street
Farmington, MO 63640
Phone
(573) 756-5353
Fax
(573) 756-4557
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jerry Lynn ReedNPI 1376893222
Title
Peer Specialist
Phone
(573) 756-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1085 Maple Street
Farmington, MO 63640

Mailing address

3471 Rosener Road
Apt 1
Park Hills, MO 63601
Phone (573) 327-9022

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1053646380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 ROSENER ROAD",
            "address_2": "APT 1",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "63601",
            "telephone_number": "573-327-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 MAPLE STREET",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-5353",
            "fax_number": "573-756-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJC BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PEER SPECIALIST",
        "authorized_official_telephone_number": "573-756-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.