NPIMap

Organization Active NPI

Matrix Psychiatric Home and Health Care, L.L.C.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Fenton, MO
National Provider Identifier
1265755037
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
132832 Issued in MO
Legal business name
MATRIX PSYCHIATRIC HOME AND HEALTH CARE, L.L.C.
Practice address
1423 Villas Estates Dr
Fenton, MO 63026-3284
Phone
(314) 954-5568
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Ms. Tammie Marie Auer, R.N.
Title
Owner
Phone
(314) 954-5568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0809X 132832 MO Primary
Public Health or Welfare Agency 251K00000X 132832 MO

Addresses

Primary practice location

1423 Villas Estates Dr
Fenton, MO 63026-3284

Mailing address

1423 Villas Estates Dr
Fenton, MO 63026-3284
Phone (314) 954-5568

National Provider Directory

National Provider Directory
Tax ID family
Matrix Psychiatric Home and Health Care3 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.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1265755037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 VILLAS ESTATES DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263284",
            "telephone_number": "314-954-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 VILLAS ESTATES DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263284",
            "telephone_number": "314-954-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX PSYCHIATRIC HOME AND HEALTH CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "AUER",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-954-5568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "132832",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": "132832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.