NPIMap

Organization Active NPI

Boys and Girls Town of Missouri

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Saint James, MO
National Provider Identifier
1306999511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
322D00000X Issued in MO
Legal business name
BOYS AND GIRLS TOWN OF MISSOURI
Practice address
13160 County Road 3610
Boys & Girls Town of Missouri
St. James, MO 65559
Phone
(573) 265-3251
NPI assigned
Jan 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Bryan Matthews, M.S., C.R.C, L.P.C.NPI 1093855520
Title
Bell Cottage Clinical Director
Phone
(573) 265-3251

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
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 322D00000X MO Primary

Addresses

Primary practice location

13160 County Road 3610
Boys & Girls Town of Missouri
St. James, MO 65559

Mailing address

17051 Highway 8
Saint James, MO 65559-8222
Phone (573) 265-1959

National Provider Directory

National Provider Directory
Tax ID family
Great Circle14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306999511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 HIGHWAY 8",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655598222",
            "telephone_number": "573-265-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 COUNTY ROAD 3610",
            "address_2": "BOYS & GIRLS TOWN OF MISSOURI",
            "city": "ST. JAMES",
            "state": "MO",
            "postal_code": "65559",
            "telephone_number": "573-265-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS AND GIRLS TOWN OF MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "BELL COTTAGE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "573-265-3251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., C.R.C, L.P.C."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MO",
            "license": "322D00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.