NPIMap

Organization Active NPI

Family Mental Health II, P.C.

  • Clinical Neuropsychologist
  • Saint Louis, MO
National Provider Identifier
1174709638
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
R8153 Issued in MO
Legal business name
FAMILY MENTAL HEALTH II, P.C.
Practice address
443 N New Ballas Rd
Suite Number 249
Saint Louis, MO 63141-6800
Phone
(314) 872-7069
Fax
(314) 872-9103
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Elly Bhuyan, M.D., M.D.
Title
Psychiatrist
Phone
(314) 872-7069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X R8153 MO Primary

Addresses

Primary practice location

443 N New Ballas Rd
Suite Number 249
Saint Louis, MO 63141-6800

Mailing address

443 N New Ballas Rd
Suite Number 249
Saint Louis, MO 63141-6800
Phone (314) 872-7069

National Provider Directory

National Provider Directory

Locations

443 N New Ballas Rd
Ste 249
Saint Louis, MO 63141
Phone (314) 872-6808

717 Union Rd
Saint Louis, MO 63123
Phone (314) 544-2225

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1174709638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N NEW BALLAS RD",
            "address_2": "SUITE NUMBER 249",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416800",
            "telephone_number": "314-872-7069",
            "fax_number": "314-872-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 N NEW BALLAS RD",
            "address_2": "SUITE NUMBER 249",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416800",
            "telephone_number": "314-872-7069",
            "fax_number": "314-872-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MENTAL HEALTH II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "BHUYAN, M.D.",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "314-872-7069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MO",
            "license": "R8153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 15, 2008; 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.