St. Louis Behavioral Health Services, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R3N44 Issued in MO

Legal business name

ST. LOUIS BEHAVIORAL HEALTH SERVICES, LLC

Practice address

12255 Depaul Dr
Suite 490
Bridgeton, MO 63044

Phone

(314) 344-7770

Fax

(314) 298-0556

NPI assigned

Feb 21, 2013

Last updated

Mar 6, 2017By 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

M Javed Qasim, MD

Title

Ceo

Phone

(314) 344-7770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 5

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.

• Saima Baig

  • Adult Health Nurse Practitioner
  • Bridgeton, MO
  • NPI 1033619044
  Medicare reassignment Care Compare group NPD
• Amy Joy Marty, PH.D.

  • Clinical Psychologist
  • Saint Charles, MO
  • NPI 1982880548
  Medicare reassignment Care Compare group NPD
• M.Javed Qasim, M.D.

  • Psychiatry Physician
  • Bridgeton, MO
  • NPI 1578562310
  Medicare reassignment Care Compare group NPD
• Fradi Spilberg, PH.D.

  • Psychologist
  • Bridgeton, MO
  • NPI 1184623787
  Medicare reassignment Care Compare group NPD
• Ebele N Iloabachie

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairview Heights, IL
  • NPI 1093050841

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1487994877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 DEPAUL DR",
            "address_2": "SUITE 490",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-344-7770",
            "fax_number": "314-298-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DEPAUL DR",
            "address_2": "SUITE 490",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-344-7770",
            "fax_number": "314-298-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "QASIM",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "JAVED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-344-7770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R3N44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSM Medical Group Inc. (SSM Health Medical Group)
• SSM Neurosciences Inc (SSM Health Neurosciences)
• SSM Pharmacy @ Depaul
• St Louis County Otolaryngology LTD
• St Louis Heart and Vascular P.C.
• St. Louis Children's Surgery Center, LLC
• St. Louis General Surgery, PC
• Matthew W Stadnyk, MD
• Sarah Staff, PT, DPT
• Emily Stageberg

• Psychiatry Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.