Organization Active NPI

Equilibrium Mental Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Peters, MO
National Provider Identifier
1346903911
Registry record updated Nov 9, 2021
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
EQUILIBRIUM MENTAL HEALTH SERVICES, LLC
Practice address
5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667
Phone
(636) 477-6464
Fax
(636) 410-9291
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Brittania Rene Phillips, DNP, APRN, PMHNP-BCNPI 1174294789
Title
Psychiatric Nurse Practitioner
Phone
(314) 707-5956

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

5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667

Mailing address

521 Kent Dr
Wentzville, MO 63385-1316
Phone (314) 707-5956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211123000747 MO Part B Supplier - Clinic/Group Practice 4789073248 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Peters, MO

National Provider Directory

National Provider Directory

Locations

5700 Mexico Rd
Ste 8
Saint Peters, MO 63376
Phone (636) 477-6464

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": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1346903911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 KENT DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851316",
            "telephone_number": "314-707-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 8",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761667",
            "telephone_number": "636-477-6464",
            "fax_number": "636-410-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BRITTANIA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "314-707-5956",
        "authorized_official_credential": "DNP, APRN, 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 Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.