Progressive Youth Connection

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROGRESSIVE YOUTH CONNECTION

Practice address

9530 Watson Industrial Park
Saint Louis, MO 63126-1525

Phone

(314) 963-8368

Fax

(314) 963-8935

NPI assigned

Dec 7, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meg Petri, LPC

Title

Executive Director

Phone

(314) 963-8368

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1063695559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 WATSON INDUSTRIAL PARK",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261525",
            "telephone_number": "314-963-8368",
            "fax_number": "314-963-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 WATSON INDUSTRIAL PARK",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261525",
            "telephone_number": "314-963-8368",
            "fax_number": "314-963-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE YOUTH CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "PETRI",
        "authorized_official_first_name": "MEG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-963-8368",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Bram Profumo, CRNA
• Progress Eyecare LLC
• Progress in Education Inc (North Side Community School)
• Progression Healthcare Mo, LLC
• Progression Healthcare Mo, LLC
• Promise Mobility LLC
• Promised Land Therapy LLC
• Promising Home Health Care LLC
• Prompt Aid Inc
• Proper Care Home Health LLC

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.