NPIMap

Organization Active NPI

Community Behavior Health

  • Community/Behavioral Health Agency
  • Saint Louis, MO
National Provider Identifier
1104354018
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY BEHAVIOR HEALTH
Practice address
1027 S Vandeventer Ave
Saint Louis, MO 63110-3800
Phone
(314) 282-0804
NPI assigned
May 23, 2017
Organization subpart
Yes
Parent organization
COMMUNITY BEHAVIOR HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mr. Naim Muhammad
Title
Director
Phone
(314) 282-0804

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

1027 S Vandeventer Ave
Saint Louis, MO 63110-3800

Mailing address

1027 S Vandeventer Ave
Saint Louis, MO 63110-3800
Phone (314) 833-3424

Other identifiers 2

IdentifierTypeStateIssuer
114354018MedicaidMO
1588094312MedicaidMO

Other names 1

  • COMMUNITY BEHAVIOR HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Behavior Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1104354018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103800",
            "telephone_number": "314-833-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103800",
            "telephone_number": "314-282-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIOR HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY BEHAVIOR HEALTH",
        "enumeration_date": "2017-05-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "NAIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-282-0804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114354018",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588094312",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY BEHAVIOR HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 2019; 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.