NPIMap

Organization Active NPI

Advanced Psychiatric Services Inc

  • Psychiatry Physician
  • Festus, MO
National Provider Identifier
1154372464
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ADVANCED PSYCHIATRIC SERVICES INC
Practice address
807 Collins Dr
Festus, MO 63028-2346
Phone
(636) 931-4206
Fax
(636) 931-5774
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Bun Tee Co Jr., M.D.NPI 1437210796
Title
President
Phone
(636) 931-4206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

807 Collins Dr
Festus, MO 63028-2346

Mailing address

PO Box 217
Herculaneum, MO 63048-0217
Phone (636) 931-4206

Other identifiers 1

IdentifierTypeStateIssuer
502857709MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040710000000 MO Part B Supplier - Clinic/Group Practice 8820074297 Receives reassigned benefits from 20 practitioners
Practice locations: Festus, MO

National Provider Directory

National Provider Directory
Tax ID family
Advanced Psychiatric Services3 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

23144 Highway 32
Belleview, MO 63623
Phone (573) 697-5311

1107 Clarke St
De Soto, MO 63020
Phone (636) 586-7871

24898 State Highway Ab
Essex, MO 63846
Phone (573) 568-5622

1108 W Liberty St
Farmington, MO 63640
Phone (573) 260-4136

400 N Washington St
Ste 130E
Farmington, MO 63640
Phone (573) 330-5323

500 Ashbrook Dr
Farmington, MO 63640
Phone (573) 747-4646

500 Sunshine Dr
#I
Festus, MO 63028
Phone (636) 937-7140

807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206

1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995

101 Riggs Scott Ln
Ironton, MO 63650
Phone (573) 546-7429

1209 Stokelan Dr
Malden, MO 63863
Phone (573) 276-5115

700 E Highland Ave
Nevada, MO 64772
Phone (417) 667-8889

1019 Old St Marys Rd
Perryville, MO 63775
Phone (573) 547-7398

10600 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 340-6389

301 N New Madrid St
Sikeston, MO 63801
Phone (573) 471-5503

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1154372464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "HERCULANEUM",
            "state": "MO",
            "postal_code": "630480217",
            "telephone_number": "636-931-4206",
            "fax_number": "636-931-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 COLLINS DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282346",
            "telephone_number": "636-931-4206",
            "fax_number": "636-931-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "CO",
        "authorized_official_first_name": "BUN TEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-931-4206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502857709",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.