NPIMap

Organization Active NPI

Zecarich Incorporated

Doing business as Ellie Mental Health

  • Clinical Psychologist
  • Creve Coeur, MO
National Provider Identifier
1225760309
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ZECARICH INCORPORATED
Doing business as
Ellie Mental Health
Practice address
844 N New Ballas CT
Creve Coeur, MO 63141-7174
Phone
(314) 482-5223
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Pamela Latarsha Buchanan
Title
Owner/President
Phone
(636) 866-2308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

844 N New Ballas CT
Creve Coeur, MO 63141-7174

Mailing address

844 N New Ballas CT
Creve Coeur, MO 63141-7174
Phone (314) 482-5223

Other names 1

  • Ellie Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

12801 Flushing Meadows Dr
Ste 110
Saint Louis, MO 63131
Phone (314) 907-0216

Practitioners & affiliated clinicians

Practitioners 6

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": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1225760309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N NEW BALLAS CT",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417174",
            "telephone_number": "314-482-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N NEW BALLAS CT",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417174",
            "telephone_number": "314-482-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZECARICH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LATARSHA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "636-866-2308"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.