Active NPI
Psychiatric Care and Research Center Inc
- Psychiatry Physician
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PSYCHIATRIC CARE AND RESEARCH CENTER INC
- Practice address
- 4132 Keaton Crossing Blvd
Ste 201
O Fallon, MO 63368-8222 - Phone
- (636) 244-3589
- Fax
- (636) 244-3594
- NPI assigned
- Nov 10, 2011
- 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
- Dr. John P Canale, MD
- Title
- President
- Phone
- (636) 244-3589
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
4132 Keaton Crossing Blvd
Ste 201
O Fallon, MO 63368-8222
Mailing address
4132 Keaton Crossing Blvd
Ste 201
O Fallon, MO 63368-8222
Phone (636) 244-3589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130513000241 | MO | Part B Supplier - Clinic/Group Practice | 3678710506 |
Receives reassigned benefits from 4 practitioners Practice locations: O Fallon, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2034606 | Psychiatric Care and Research Center | Certificate of waiver | Dec 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
4132 Keaton Crossing Blvd
Ste 201
O Fallon, MO 63368
Phone (636) 244-3589
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- O Fallon, MO
- NPI 1194524991
MO, Psychiatric/Mental Health
-
- Professional Counselor
- O Fallon, MO
- NPI 1184066854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1447537071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 KEATON CROSSING BLVD",
"address_2": "STE 201",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688222",
"telephone_number": "636-244-3589",
"fax_number": "636-244-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 KEATON CROSSING BLVD",
"address_2": "STE 201",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688222",
"telephone_number": "636-244-3589",
"fax_number": "636-244-3594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRIC CARE AND RESEARCH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-10",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "CANALE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-244-3589",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.