Organization Active NPI

Reliable Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • O'Fallon, MO
National Provider Identifier
1336810548
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RELIABLE MENTAL HEALTH SERVICES LLC
Practice address
1103 Warm Winds Dr
O Fallon, MO 63366-6327
Phone
(636) 306-1330
Fax
(636) 306-1330
NPI assigned
Sep 27, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Mrs. Farah Lynn Shaddix, PMHNP-BCNPI 1912524059
Title
Owner/Provider
Phone
(636) 306-1330

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1103 Warm Winds Dr
O Fallon, MO 63366-6327

Mailing address

2977 Highway K Ste 141
O Fallon, MO 63368-7862
Phone (636) 306-1330

National Provider Directory

National Provider Directory

Locations

2977 Highway K
O Fallon, MO 63368

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": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1336810548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 HIGHWAY K STE 141",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687862",
            "telephone_number": "636-306-1330",
            "fax_number": "636-410-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WARM WINDS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633666327",
            "telephone_number": "636-306-1330",
            "fax_number": "636-306-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "SHADDIX",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "636-306-1330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.