Active NPI
Center for Hope LLC
- Addiction (Substance Use Disorder) Psychologist
- Saint Louis, MO
National Provider Identifier
1376713933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 2002011104
- Legal business name
- CENTER FOR HOPE LLC
- Practice address
- 425 Marshall Ave
Saint Louis, MO 63119-1833 - Phone
- (314) 963-7711
- Fax
- (314) 963-7703
- NPI assigned
- Mar 10, 2008
- Last updated
- Mar 10, 2008
- 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
- Gwin Stewaart, PH.D., CASAC
- Title
- Owner
- Phone
- (314) 724-0503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 2002011104 | MO | Primary |
Addresses
Primary practice location
425 Marshall Ave
Saint Louis, MO 63119-1833
Mailing address
425 Marshall Ave
Saint Louis, MO 63119-1833
Phone (314) 963-7711
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285878793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1376713933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 MARSHALL AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191833",
"telephone_number": "314-963-7711",
"fax_number": "314-963-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 MARSHALL AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191833",
"telephone_number": "314-963-7711",
"fax_number": "314-963-7703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR HOPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "STEWAART",
"authorized_official_first_name": "GWIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-724-0503",
"authorized_official_credential": "PH.D., CASAC"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "2002011104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.