Active NPI
Beyond Vision Mental Health Inc
- Psychiatry Physician
- Chesterfield, MO
National Provider Identifier
1104440072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BEYOND VISION MENTAL HEALTH INC
- Practice address
- 140 Long Rd Ste 123
Chesterfield, MO 63005-1282 - Phone
- (818) 308-4388
- Fax
- (855) 954-4533
- NPI assigned
- Jun 5, 2020
- 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
- Mr. D. Mark Fassett II
- Title
- Coo
- Phone
- (917) 822-9002
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Behavior Technician | 106S00000X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
140 Long Rd Ste 123
Chesterfield, MO 63005-1282
Mailing address
331 N New Ballas Rd
Saint Louis, MO 63141-5502
Phone (818) 308-4388
Other names 1
- Beyond Vision Inc
National Provider Directory
National Provider DirectoryLocations
140 Long Rd
Ste 123
Chesterfield, MO 63005
Phone (917) 822-9002
331 N New Ballas Rd
Unit 410215
Saint Louis, MO 63141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1104440072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 N NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415502",
"telephone_number": "818-308-4388",
"fax_number": "855-954-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 LONG RD STE 123",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051282",
"telephone_number": "818-308-4388",
"fax_number": "855-954-4533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYOND VISION MENTAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-05",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "FASSETT",
"authorized_official_first_name": "D. MARK",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "917-822-9002",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beyond Vision Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beyond Vision Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.