Active NPI
Community Behavior Health
- Case Management Agency
- Saint Louis, MO
National Provider Identifier
1306020797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COMMUNITY BEHAVIOR HEALTH
- Practice address
- 1027 S Vandeventer Ave FL 2
Saint Louis, MO 63110 - Phone
- (314) 282-0804
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Naim Muhammad, M.ED, BA, RASAC
- Title
- Director
- Phone
- (314) 556-4443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | MO | Primary |
Addresses
Primary practice location
1027 S Vandeventer Ave FL 2
Saint Louis, MO 63110
Mailing address
4500 Washington
St Louis, MO 63108
Phone (314) 367-0302
Other practice location 1
1027 S Vandeventer Ave Fl 2
Saint Louis, MO 63110
Phone (314) 282-0804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2320181614 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Community Behavior Health
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Saint Louis, MO
- NPI 1104354018
-
- Substance Abuse Rehabilitation Facility
- Saint Louis, MO
- NPI 1326203472
-
- Case Management Agency
- Saint Louis, MO
- NPI 1346620333
Locations
4500 Washington Blvd
Saint Louis, MO 63108
1027 S Vandeventer Ave
Fl 2
Saint Louis, MO 63110
Phone (314) 282-0804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1306020797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 WASHINGTON",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63108",
"telephone_number": "314-367-0302",
"fax_number": "314-367-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 S VANDEVENTER AVE FL 2",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-282-0804"
}
],
"practiceLocations": [
{
"address_1": "1027 S Vandeventer Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "63110",
"country_code": "US",
"telephone_number": "314-282-0804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMUNITY BEHAVIOR HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MUHAMMAD",
"authorized_official_first_name": "NAIM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "314-556-4443",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.ED, BA, RASAC"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2320181614",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Community Advocates Inc
- Community Alternatives Missouri, Inc.
- Community Alternatives, Inc.
- Community and Long-Term Care Psychiatry LLC
- Community Behavior Health
- Community Behavior Health
- Community Behavior Health
- Community Behavior Health
- Community Behavior Health II
- Community Care Center of Lemay, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.