St. Louis Behavioral Medicine Institute Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2006006594 Issued in MO

Legal business name

ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE INC

Practice address

1129 Macklind Ave
Saint Louis, MO 63110-1440

Phone

(314) 534-0200

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Sr VP Cfo

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• St. Louis Behavioral Medicine Institute Inc

  • Mental Health Counselor
  • Fairview Heights, IL
  • NPI 1952169179

  3173428638

  Same PAC ID

Locations

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Gelene Adkins, PSY D

  • Cognitive & Behavioral Psychologist
  • Saint Louis, MO
  • NPI 1972666808

  MO

  Medicare reassignment Care Compare group NPD
• Sara Agha

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1912585829

  MO

  Medicare reassignment Care Compare group NPD
• Elim Allee, LPC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1760039093

  MO

  Medicare reassignment Care Compare group NPD
• Victoria Brooke Ayden, MD

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
  • NPI 1134302086

  MO

  Medicare reassignment Care Compare group NPD
• Rachel Barnholtz

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1568116820

  MO

  Medicare reassignment Care Compare group NPD
• Denise Brennan

  • Professional Counselor
  • Festus, MO
  • NPI 1154646941

  MO

  Medicare reassignment Care Compare group NPD
• Jessica Lyn Burich, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1003268152

  MO

  Medicare reassignment Care Compare group NPD
• Cara Jane Capuano, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1174967251

  MO

  Medicare reassignment Care Compare group NPD
• Claudia Charles, M.A., L.C.S.W.

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1588785968

  MO

  Medicare reassignment Care Compare group NPD
• Tingying CHI, MD

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1306367644

  MO

  Medicare reassignment Care Compare group NPD
• Bronwen Cameron Diantonio, PH.D.

  • Psychologist
  • Saint Louis, MO
  • NPI 1558422709

  MO, Psychologist

  Medicare reassignment Care Compare group NPD
• Lisa S Dierdorf, LPC

  • Professional Counselor
  • Ballwin, MO
  • NPI 1568047769

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1487732335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MACKLIND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101440",
            "telephone_number": "314-534-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MACKLIND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101440",
            "telephone_number": "314-534-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2006006594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Louis Arc
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• St. Louis Autism Testing Center, LLC
• St. Louis Behavioral Associates LTD.
• St. Louis Board of Education
• St. Louis Bone and Joint Center, LLC
• St. Louis Cancer Care, L.L.P.
• St. Louis Center for Family Development, LLC
• St. Louis Center for Family Development, LLC

• Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.