Active NPI
Good Shepherd Children and Family Services
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Saint Louis, MO
National Provider Identifier
1093881252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- GOOD SHEPHERD CHILDREN AND FAMILY SERVICES
- Practice address
- 1340 Partridge Ave
Saint Louis, MO 63130-1943 - Phone
- (314) 854-5737
- Fax
- (314) 854-5750
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Stacie G Newberry, LCSW
- Title
- Director of Residential Services
- Phone
- (314) 854-5737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MO | Primary |
Addresses
Primary practice location
1340 Partridge Ave
Saint Louis, MO 63130-1943
Mailing address
1340 Partridge Ave
Saint Louis, MO 63130-1943
Phone (314) 854-5737
Other names 1
- Marian Hall Agencies
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2320297 | Good Shepherd Children & Family Services | Certificate of waiver | Mar 16, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1093881252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 PARTRIDGE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631301943",
"telephone_number": "314-854-5737",
"fax_number": "314-854-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 PARTRIDGE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631301943",
"telephone_number": "314-854-5737",
"fax_number": "314-854-5750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD CHILDREN AND FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "NEWBERRY",
"authorized_official_first_name": "STACIE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "DIRECTOR OF RESIDENTIAL SERVICES",
"authorized_official_telephone_number": "314-854-5737",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marian Hall Agencies",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Saint Louis, MO
- Good Eye LLC
- Good Faith Consumer Directed Services LLC
- Good Newz Media Group LLC (Therapeutic Alliance)
- Good Samaritan Senior Care
- Good Shepherd Adult Daycare
- Good Shepherd School for Children (Good Shepherd Pediatric Therapy Services)
- Good Shepherd School for Children
- Emily Elizabeth Good, CRNA
- Misty L Good, MD
- Megan Marie Goodall, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.