Organization Active NPI

Good Shepherd Children and Family Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Saint Louis, MO
National Provider Identifier
1093881252
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
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

Updated by the provider on Apr 11, 2008

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)CodeLicenseStatePrimary
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 Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2320297Good Shepherd Children & Family Services1340 Partridge Avenue, Saint Louis, MO 63130Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.