Organization Active NPI

Primebridge Psychiatric Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
National Provider Identifier
1306790092
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PRIMEBRIDGE PSYCHIATRIC CARE LLC
Practice address
536 N Taylor Ave
Saint Louis, MO 63108-1888
Phone
(314) 266-8139
Fax
(314) 783-2085
NPI assigned
Feb 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Chileme U Ochulor, DNP, PMHNP-BCNPI 1659140275
Title
Managing Member
Phone
(346) 213-3023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

536 N Taylor Ave
Saint Louis, MO 63108-1888

Mailing address

459 Dusty Brook Dr
O Fallon, MO 63366-5088
Phone (346) 213-3023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319001198 MO Part B Supplier - Clinic/Group Practice 1850875618 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1306790092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 DUSTY BROOK DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633665088",
            "telephone_number": "346-213-3023",
            "fax_number": "314-783-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 N TAYLOR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081888",
            "telephone_number": "314-266-8139",
            "fax_number": "314-783-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEBRIDGE PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-21",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "OCHULOR",
        "authorized_official_first_name": "CHILEME",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "346-213-3023",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 28, 2026; 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.