Organization Active NPI

Community Behavior Health

  • Case Management Agency
  • Saint Louis, MO
National Provider Identifier
1306020797
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2320181614MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Community Behavior Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.