Mercy Family Therapy, LLC

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

Legal business name

MERCY FAMILY THERAPY, LLC

Practice address

970 Executive Parkway Dr
Creve Coeur, MO 63141-6302

Phone

(314) 628-6550

NPI assigned

Mar 7, 2007

Organization subpart

Yes

Parent organization

MERCY HOSPITALS EAST COMMUNITIESAs reported in NPPES

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

Authorized official

Name

Jeffrey A. Johnston

Title

President, Mercy Hospital St. Louis

Phone

(314) 251-1932

Specialties & licenses 8

Addresses

Other names 1

• St. John's Family Therapy Center Former legal business name

Part of

St Johns Mercy Medical Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Hospitals East Communities

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1851431738

  Member Of

  NPD member

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1285764324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 EXECUTIVE PARKWAY DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416302",
            "telephone_number": "314-628-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EXECUTIVE PARKWAY DR",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416302",
            "telephone_number": "314-628-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY FAMILY THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITALS EAST COMMUNITIES",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT, MERCY HOSPITAL ST. LOUIS",
        "authorized_official_telephone_number": "314-251-1932"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Family Therapy Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Medical Acute Care Center, P.C.
• Theodore Meltzer, MA
• Lejla Memisevic, PHARMD
• Andrew Roberts Reilly Menatti, PH.D.
• Mercy Clinic Children'S Cancer & Hematology LLC
• Mercy Health, Services, LLC
• Mercy Pharmacy Services LLC
• Mercy Pharmacy Services LLC
• Nichelle S Meriwether, MA
• Sarah Merritt, LCSW

• Family Psychologist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Family Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.