Organization Active NPI

Tyree Edward Miller Behavioral Health Services

  • Community/Behavioral Health Agency
  • Saint Louis, MO
National Provider Identifier
1568990505
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TYREE EDWARD MILLER BEHAVIORAL HEALTH SERVICES
Practice address
2829 Gainsboro CT
Saint Louis, MO 63121-4717
Phone
(314) 853-9839
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Tyree Edward Miller, LCSWNPI 1720297989
Title
Social Worker/Ceo
Phone
(314) 853-9839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2829 Gainsboro CT
Saint Louis, MO 63121-4717

Mailing address

2829 Gainsboro CT
Saint Louis, MO 63121-4717
Phone (314) 853-9839

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568990505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 GAINSBORO CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214717",
            "telephone_number": "314-853-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 GAINSBORO CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214717",
            "telephone_number": "314-853-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYREE EDWARD MILLER BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TYREE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SOCIAL WORKER/CEO",
        "authorized_official_telephone_number": "314-853-9839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.