St. Kolbe-Puckett Center for Healing Inc

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

ST. KOLBE-PUCKETT CENTER FOR HEALING INC

Practice address

210 N 7TH St
Saint Joseph, MO 64501-1906

Phone

(816) 259-5318

Fax

(816) 259-5259

NPI assigned

Dec 10, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Caroline Thalasinos

Title

Office Manager

Phone

(816) 259-5318

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1114498698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 TARA OAKS DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630053654",
            "telephone_number": "314-398-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 7TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645011906",
            "telephone_number": "816-259-5318",
            "fax_number": "816-259-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. KOLBE-PUCKETT CENTER FOR HEALING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "THALASINOS",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-259-5318",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Joseph Nephrology Associates, P.a.
• St. Joseph School District
• St. Joseph Senior Living LLC
• St. Joseph Urology, LLC
• St. Joseph Urology,LLC
• Melissa Beth Stagg, SLP
• David J Stahl, M.D.
• Shannon Stallings
• Starcare, LLC
• Charles Starling

• Addiction Medicine (Family Medicine) Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Addiction Medicine (Family Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.