NPIMap

Organization Active NPI

Magellan Health Services

  • Health Maintenance Organization
  • Maryland Heights, MO
National Provider Identifier
1679670376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
2000149482 Issued in MO
Legal business name
MAGELLAN HEALTH SERVICES
Practice address
14100 Magellan PLZ
Maryland Heights, MO 63043-4644
Phone
(314) 387-4000
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Toni D McClure, MSW
Title
Executive Director
Phone
(314) 387-4664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 2000149482 MO Primary

Addresses

Primary practice location

14100 Magellan PLZ
Maryland Heights, MO 63043-4644

Mailing address

1115 Oakley LN
Lake St Louis, MO 63367-1957
Phone (636) 332-1545

National Provider Directory

National Provider Directory
Tax ID family
Magellan Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

14100 Magellan Plz
Maryland Heights, MO 63043
Phone (314) 387-4000

Practitioners & affiliated clinicians

Practitioners 6

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": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679670376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 OAKLEY LN",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671957",
            "telephone_number": "636-332-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 MAGELLAN PLZ",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434644",
            "telephone_number": "314-387-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-387-4664",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "2000149482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • 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.