Psych Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2010015945 Issued in MO

Legal business name

PSYCH HEALTH LLC

Practice address

2821 N Ballas Rd
Suite 265
Saint Louis, MO 63131-2321

Phone

(314) 614-7794

Fax

(636) 942-2223

NPI assigned

Mar 11, 2011

Organization subpart

No

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

Authorized official

Name

Shaheen Mansoor, MDNPI 1003017369

Title

Owner

Phone

(314) 614-7794

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Shaheen Mansoor, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1003017369
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1336447564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD",
            "address_2": "SUITE 265",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312321",
            "telephone_number": "314-614-7794",
            "fax_number": "636-942-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD",
            "address_2": "SUITE 265",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312321",
            "telephone_number": "314-614-7794",
            "fax_number": "636-942-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-614-7794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2010015945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Pryor, DMD
• Holly Przygoda, PHARMD
• Rose M Psara, APRN
• Haley Gender Pschirrer
• Psych Care Consultants LLC
• Psychiatric Center of Creve Coeur,LTD.
• Psychiatric Consultants L.T.D.
• Psychological Testing & Counseling Assoc Inc
• Psychologists & Educators, Inc.
• Eric Ptolemy

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.