NPIMap

Organization Active NPI

St. Louis Behavioral Medicine Institute Inc

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1487732335
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2006006594 MO Primary

Addresses

Primary practice location

1129 Macklind Ave
Saint Louis, MO 63110-1440

Mailing address

1129 Macklind Ave
Saint Louis, MO 63110-1440
Phone (314) 534-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031223000497 MO Part B Supplier - Clinic/Group Practice 3173428638 Receives reassigned benefits from 80 practitioners
Practice locations: Chesterfield, MO; Saint Louis, MO

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

521 W Main St
Ste 201B
Belleville, IL 62220
Phone (618) 825-0051

621 S Bellwood Dr
East Alton, IL 62024
Phone (618) 596-6000

3565 Pennridge Dr
Bridgeton, MO 63044

16216 Baxter Rd
Ste 205
Chesterfield, MO 63017
Phone (314) 432-4446

16216 Baxter Rd
Ste 399
Chesterfield, MO 63017
Phone (314) 516-5398

500 Medical Dr
Ste 112
Wentzville, MO 63385

Practitioners & affiliated clinicians

Practitioners 89

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.

View all 89

NPI Registry JSON

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": []
}

Other providers in Saint Louis, MO

Sources for this page

  • 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.