Organization Active NPI

Advanced Behavioral Psychologists Inc

  • Cognitive & Behavioral Psychologist
  • Saint Louis, MO
National Provider Identifier
1174818868
Registry record updated Jun 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
00116 Issued in MO
Legal business name
ADVANCED BEHAVIORAL PSYCHOLOGISTS INC
Practice address
10000 Watson Rd
Suite S
Saint Louis, MO 63126-1854
Phone
(314) 821-4357
Fax
(314) 822-9255
NPI assigned
Jun 10, 2011
Last updated
Jun 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2011

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

Authorized official

Name
Dr. Larry Kiel, PH.D.NPI 1508065822
Title
President
Phone
(314) 821-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 00116 MO Primary

Addresses

Primary practice location

10000 Watson Rd
Suite S
Saint Louis, MO 63126-1854

Mailing address

10000 Watson Rd
Suite S
Saint Louis, MO 63126-1854
Phone (314) 821-4357

National Provider Directory

National Provider Directory

Locations

10000 Watson Rd
Ste S
Saint Louis, MO 63126
Phone (314) 821-4357

Practitioners & affiliated clinicians

Practitioners 1

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": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308441600000",
    "number": "1174818868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "SUITE S",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-821-4357",
            "fax_number": "314-822-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "SUITE S",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-821-4357",
            "fax_number": "314-822-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL PSYCHOLOGISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-19",
        "status": "A",
        "authorized_official_last_name": "KIEL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-821-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MO",
            "license": "00116",
            "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 Jun 19, 2011; 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.