NPIMap

Organization Active NPI

Christian Psychological & Family Services

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1679885677
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00654 Issued in MO
Legal business name
CHRISTIAN PSYCHOLOGICAL & FAMILY SERVICES
Practice address
9378 Olive Blvd Ste 106
Saint Louis, MO 63132-3222
Phone
(314) 567-4994
Fax
(314) 567-8581
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
John Thomas Trimble Sr., PHD, PSYCHOLOGIST
Title
Ceo/President
Phone
(314) 567-4994

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 5873946 TN
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 00654 MO Primary

Addresses

Primary practice location

9378 Olive Blvd Ste 106
Saint Louis, MO 63132-3222

Mailing address

9378 Olive Blvd Ste 106
Saint Louis, MO 63132-3222

Other identifiers 1

IdentifierTypeStateIssuer
3688245MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Christian Psychological Family Services2 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.

Locations

9378 Olive Blvd
Ste 106
Saint Louis, MO 63132
Phone (314) 567-4994

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1679885677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD STE 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD STE 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323222",
            "telephone_number": "314-567-4994",
            "fax_number": "314-567-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN PSYCHOLOGICAL & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "314-567-4994",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD, PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TN",
            "license": "5873946",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "00654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3688245",
            "state": "TN"
        }
    ],
    "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 7, 2010; 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.