Peter & Paul Community Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PETER & PAUL COMMUNITY SERVICE

Practice address

2612 Wyoming St
Saint Louis, MO 63118-2402

Phone

(314) 338-8177

Fax

(314) 621-9875

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Adam Cisroe Pearson, OTD

Title

Director

Phone

(314) 338-8166

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Leslie Vogan, OTA, OTR/L

  • Specialist
  • Saint Louis, MO
  • NPI 1275056012
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1255878625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 WYOMING ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631182402",
            "telephone_number": "314-338-8177",
            "fax_number": "314-621-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 WYOMING ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631182402",
            "telephone_number": "314-338-8177",
            "fax_number": "314-621-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER & PAUL COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "CISROE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-338-8166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatema Peshawarwala
• Alan Pestronk, MD
• Adam Peszek, MD
• Gillian Clare Pet, MD
• Mitchell Andrew Pet, MD
• Peter Fonseca MD, PC
• Peter J Spalitto, DDS, PC
• David A Peter, M.D.
• John R Peter, MD
• Brittany Megan Peterein, FNP

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.