The Community

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

305S00000X Issued in MO

Legal business name

THE COMMUNITY

Doing business as

BTMB

Practice address

8936 Goodfellow Blvd
Saint Louis, MO 63147-1433

Phone

(314) 580-3029

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Shelton, ED.S, ED.D, RSAPNPI 1003364969

Title

Ceo

Phone

(314) 580-3029

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BTMB Doing business as

Practitioners 1

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.

• Marvin Shelton, ED.S, ED.D, RSAP

  • Clinic/Center
  • Hazelwood, MO
  • NPI 1003364969
  Authorized official Same address or phone

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1467900340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471433",
            "telephone_number": "314-580-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471433",
            "telephone_number": "314-580-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-580-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.S, ED.D, RSAP"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": "MO",
            "license": "225C00000X",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "305S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RSAP",
            "identifier": "9374",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BTMB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Center for Mindfulness and CBT, LLC
• The Center for Mindfulness and CBT, LLC
• The Children's Home of Missouri
• The Children's Home Society of Missouri (FamilyForward)
• The Children's Home Society of Missouri
• The Community Counseling & Housing Services
• The Community Counseling & Housing Services
• The Community Counseling & Housing Services
• The Community Counseling & Housing Services
• The Community Counseling & Housing Services

• Point of Service in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.