The Center for Health & Wellness, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2004003502 Issued in MO

Legal business name

THE CENTER FOR HEALTH & WELLNESS, LLC

Practice address

12818 Tesson Ferry Rd
Suite 101
Saint Louis, MO 63128-2945

Phone

(314) 843-7500

Fax

(314) 843-7503

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By 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

Dr. Jennifer E Brockman, M.DNPI 1346323870

Title

Owner

Phone

(314) 843-7500

Specialties & licenses 1

Addresses

Tax ID family

The Center for Health and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Center for Health and Wellness

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1336301142
  NPD tax ID

Practitioners 1

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.

• Jennifer Elaine Brockman, M.D.

  • Forensic Psychiatry Physician
  • Mexico, MO
  • NPI 1346323870
  Authorized official Same address or phone

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1629205539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282945",
            "telephone_number": "314-843-7500",
            "fax_number": "314-843-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282945",
            "telephone_number": "314-843-7500",
            "fax_number": "314-843-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-843-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "2004003502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Brain Injury Foundation of St. Louis
• The Bridge Health and Wellness
• The Center for Head Injury Services
• The Center for Head Injury Services
• The Center for Head Injury Services
• The Center for Health and Wellness
• The Center for Mindfulness and CBT, LLC
• The Center for Mindfulness and CBT, LLC
• The Children's Home of Missouri
• The Children's Home Society of Missouri (FamilyForward)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.