Active NPI
Equilibrium Mental Health Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Peters, MO
National Provider Identifier
1346903911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Peters, MO
- NPI 1174294789
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.