NPIMap

Organization Active NPI

Child Center - Marygrove

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Florissant, MO
National Provider Identifier
1104979053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CHILD CENTER - MARYGROVE
Practice address
2705 Mullanphy LN
Florissant, MO 63031-3727
Phone
(314) 837-1702
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Helen Negri
Title
Ceo
Phone
(314) 830-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MO Primary

Addresses

Primary practice location

2705 Mullanphy LN
Florissant, MO 63031-3727

Mailing address

2705 Mullanphy LN
Florissant, MO 63031-3727
Phone (314) 837-1702

National Provider Directory

National Provider Directory
Tax ID family
Catholic Comprehensive Services for Children Child Center-Marygrove3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2705 Mullanphy Ln
Florissant, MO 63031
Phone (314) 830-6211

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104979053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 MULLANPHY LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313727",
            "telephone_number": "314-837-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 MULLANPHY LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313727",
            "telephone_number": "314-837-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD CENTER - MARYGROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEGRI",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-830-6222"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.