Organization Active NPI

Anxiety & Behavioral Medicine Center Inc

  • Clinical Psychologist
  • Saint Louis, MO
National Provider Identifier
1487870333
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00203 Issued in MO
Legal business name
ANXIETY & BEHAVIORAL MEDICINE CENTER INC
Practice address
889 S Brentwood Blvd
Suite Ll102
Saint Louis, MO 63105-2562
Phone
(314) 725-2299
Fax
(314) 725-7645
NPI assigned
Apr 18, 2007
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Nancy Pentino
Title
Office Manager
Phone
(314) 725-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00203 MO Primary

Addresses

Primary practice location

889 S Brentwood Blvd
Suite Ll102
Saint Louis, MO 63105-2562

Mailing address

889 S Brentwood Blvd
Suite Ll102
Saint Louis, MO 63105-2562
Phone (314) 725-2299

National Provider Directory

National Provider Directory

Locations

8420 Delmar Blvd
Ste LL3
Saint Louis, MO 63124
Phone (314) 991-0400

889 S Brentwood Blvd
Ste LL102
Saint Louis, MO 63105
Phone (314) 725-0380

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1487870333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 S BRENTWOOD BLVD",
            "address_2": "SUITE LL102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052562",
            "telephone_number": "314-725-2299",
            "fax_number": "314-725-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 S BRENTWOOD BLVD",
            "address_2": "SUITE LL102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052562",
            "telephone_number": "314-725-2299",
            "fax_number": "314-725-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY & BEHAVIORAL MEDICINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "PENTINO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-725-2299"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "00203",
            "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 Feb 12, 2008; 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.