Organization Active NPI

Holistic Behavioral Health LLC

  • Psychiatry Physician
  • Lake Saint Louis, MO
National Provider Identifier
1457103103
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HOLISTIC BEHAVIORAL HEALTH LLC
Practice address
101 Long Pass CT
Lake Saint Louis, MO 63367-5051
Phone
(314) 600-5221
NPI assigned
Apr 4, 2024
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Ornela Claude Ika, APRN-NPNPI 1477338291
Title
Nurse Practitioner
Phone
(314) 600-5221

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

101 Long Pass CT
Lake Saint Louis, MO 63367-5051

Mailing address

101 Long Pass CT
Lake Saint Louis, MO 63367-5051
Phone (314) 600-5221

National Provider Directory

National Provider Directory

Locations

5988 Mid Rivers Mall Dr
Ste 120
Saint Peters, MO 63304
Phone (636) 775-8952

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1457103103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LONG PASS CT",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633675051",
            "telephone_number": "314-600-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LONG PASS CT",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633675051",
            "telephone_number": "314-600-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "IKA",
        "authorized_official_first_name": "ORNELA",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "314-600-5221",
        "authorized_official_credential": "APRN-NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.