NPIMap

Organization Active NPI

Allied Behavioral Consultants, Inc.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1366536120
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALLIED BEHAVIORAL CONSULTANTS, INC.
Practice address
11477 Olde Cabin Rd
Suite 200
Saint Louis, MO 63141-7130
Phone
(314) 567-5000
Fax
(314) 567-3110
NPI assigned
Oct 3, 2006
Last updated
Dec 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Ms. Lisa Bushdiecker
Title
Administrator
Phone
(314) 567-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

11477 Olde Cabin Rd
Suite 200
Saint Louis, MO 63141-7130

Mailing address

11477 Olde Cabin Rd
Suite 200
Saint Louis, MO 63141-7130
Phone (314) 567-5000

National Provider Directory

National Provider Directory

Locations

11477 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 567-5000

3009 N Ballas Rd
Ste 227
Saint Louis, MO 63131
Phone (314) 567-5000

646 First Capitol Dr
Ste 3
St Charles, MO 63301
Phone (636) 724-6249

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1366536120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11477 OLDE CABIN RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417130",
            "telephone_number": "314-567-5000",
            "fax_number": "314-567-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11477 OLDE CABIN RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417130",
            "telephone_number": "314-567-5000",
            "fax_number": "314-567-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED BEHAVIORAL CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "BUSHDIECKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-567-5000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.