Organization Active NPI

Behavioral Science Institute, Inc.

  • School Social Worker
  • Fairview Heights, IL
National Provider Identifier
1285932335
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Legal business name
BEHAVIORAL SCIENCE INSTITUTE, INC.
Practice address
141 Market Place
Suite 206
Fairview Heights, IL 62208
Phone
(314) 607-2573
NPI assigned
Mar 13, 2011
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Ms. Marie Clark, M.A.
Title
Director.Therapist
Phone
(314) 607-2573

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

141 Market Place
Suite 206
Fairview Heights, IL 62208

Mailing address

12685 Dorsett Rd
#339
Maryland Heights, MO 63043-2100
Phone (314) 607-2573

National Provider Directory

National Provider Directory

Locations

7750 Clayton Rd
Ste 307A
Saint Louis, MO 63117
Phone (314) 644-1557

Practitioners & affiliated clinicians

Practitioners 1

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": "1299974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1285932335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12685 DORSETT RD",
            "address_2": "#339",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432100",
            "telephone_number": "314-607-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MARKET PLACE",
            "address_2": "SUITE 206",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "314-607-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL SCIENCE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-13",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR.THERAPIST",
        "authorized_official_telephone_number": "314-607-2573",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.