Organization Active NPI

TMS of Chesterfield

  • Psychiatry Physician
  • Chesterfield, MO
National Provider Identifier
1285306118
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TMS OF CHESTERFIELD
Practice address
112 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440
Phone
(636) 532-0705
NPI assigned
Sep 29, 2021
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Stacy Lane
Title
Office Manager
Phone
(636) 532-0705

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

112 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440

Mailing address

112 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220725001386 MO Part B Supplier - Clinic/Group Practice 1355722158 Receives reassigned benefits from 2 practitioners
Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory

Locations

112 Chesterfield Commons Rd E
Chesterfield, MO 63005
Phone (636) 532-0705

112 Chesterfield Commons Rd E
#R
Chesterfield, MO 63005
Phone (636) 532-0705

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": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1285306118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CHESTERFIELD COMMONS RD E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CHESTERFIELD COMMONS RD E",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051440",
            "telephone_number": "636-532-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMS OF CHESTERFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-532-0705"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.