Child Center of Our Lady

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

CHILD CENTER OF OUR LADY

Practice address

7900 Natural Bridge Rd
Saint Louis, MO 63121-4628

Phone

(314) 383-0200

Fax

(314) 383-6334

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jim Bausch, MSW

Title

Executive Director

Phone

(314) 383-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679578413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NATURAL BRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214628",
            "telephone_number": "314-383-0200",
            "fax_number": "314-383-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NATURAL BRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214628",
            "telephone_number": "314-383-0200",
            "fax_number": "314-383-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD CENTER OF OUR LADY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUSCH",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-383-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srinivas Chilakamarri, MD
• Madan M Chilappa, M.D.
• Chilcutt & Steuterman, DDS, LLC
• Child and Adolescent Life Therapy
• Child and Family Empowerment Center
• Adrienne Louise Childers, MD
• Diane Lynn Childers, APRN, BC
• Pennie Childers
• Sara Nicole Childers, MA, NCSP
• Childgarden Child Development Center

• Emotionally Disturbed Childrens' Residential Treatment Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.