Active NPI
Global Health Behavioral and Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GLOBAL HEALTH BEHAVIORAL AND WELLNESS LLC
- Practice address
- 1001 Boardwalk Springs PL Ste 111
O Fallon, MO 63368-4777 - Phone
- (636) 675-1979
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chidochomoyo Zvirawa
- Title
- Owner
- Phone
- (636) 675-9799
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1001 Boardwalk Springs PL Ste 111
O Fallon, MO 63368-4777
Mailing address
1001 Boardwalk Springs PL Ste 111
O Fallon, MO 63368-4777
Phone (636) 675-1979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1001 Boardwalk Springs Pl
Ste 111
O Fallon, MO 63368
Phone (636) 362-6343
745 Craig Rd
Ste 301A
Saint Louis, MO 63141
Phone (314) 439-1290
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Troy, MO
- NPI 1790344968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703203200000",
"number": "1689368474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BOARDWALK SPRINGS PL STE 111",
"city": "O FALLON",
"state": "MO",
"postal_code": "633684777",
"telephone_number": "636-675-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BOARDWALK SPRINGS PL STE 111",
"city": "O FALLON",
"state": "MO",
"postal_code": "633684777",
"telephone_number": "636-675-1979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOBAL HEALTH BEHAVIORAL AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A",
"authorized_official_last_name": "ZVIRAWA",
"authorized_official_first_name": "CHIDOCHOMOYO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-675-9799"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.