Good Shepherd School for Children

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GOOD SHEPHERD SCHOOL FOR CHILDREN

Doing business as

Good Shepherd Pediatric Therapy Services

Practice address

1170 Timber Run Dr
Saint Louis, MO 63146-4482

Phone

(314) 469-0606

Fax

(314) 469-3294

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth A Rose, LCSW

Title

Executive Director

Phone

(314) 469-0606

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Good Shepherd Pediatric Therapy Services Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1083735138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 TIMBER RUN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464482",
            "telephone_number": "314-469-0606",
            "fax_number": "314-469-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 TIMBER RUN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464482",
            "telephone_number": "314-469-0606",
            "fax_number": "314-469-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD SCHOOL FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-469-0606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623876406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Pediatric Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Faith Consumer Directed Services LLC
• Good Newz Media Group LLC (Therapeutic Alliance)
• Good Samaritan Senior Care
• Good Shepherd Adult Daycare
• Good Shepherd Children and Family Services
• Good Shepherd School for Children
• Emily Elizabeth Good, CRNA
• Misty L Good, MD
• Megan Marie Goodall, FNP-C
• Daniel M Goodenberger, MD

• Customized Equipment (DME) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.