NPIMap

Organization Active NPI

Matrix Psychiatric Home Care

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Saint Louis, MO
National Provider Identifier
1699053413
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
132832 Issued in MO
Legal business name
MATRIX PSYCHIATRIC HOME CARE
Practice address
5026 E Concord Rd
Saint Louis, MO 63128-1821
Phone
(314) 954-5568
Fax
(314) 487-2447
NPI assigned
Jul 27, 2011
Last updated
Jul 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Ms. Tammie Marie Auer, RN BSN
Title
Owner
Phone
(314) 954-5568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0809X 132832 MO Primary

Addresses

Primary practice location

5026 E Concord Rd
Saint Louis, MO 63128-1821

Mailing address

5026 E Concord Rd
Saint Louis, MO 63128-1821
Phone (314) 954-5568

National Provider Directory

National Provider Directory
Tax ID family
Matrix Psychiatric Home and Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1699053413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 E CONCORD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281821",
            "telephone_number": "314-954-5568",
            "fax_number": "314-487-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 E CONCORD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281821",
            "telephone_number": "314-954-5568",
            "fax_number": "314-487-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX PSYCHIATRIC HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "AUER",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-954-5568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "132832",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 27, 2011; 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.