Active NPI
Midwest Behavioral Health, LLC
- Case Management Agency
- Troy, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MIDWEST BEHAVIORAL HEALTH, LLC
- Practice address
- 116 S Lincoln Dr
Troy, MO 63379-1418 - Phone
- (636) 528-1996
- Fax
- (636) 528-1833
- NPI assigned
- Jun 16, 2006
- 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
- Carl Davis Jr., PSY.D.
- Title
- Owner
- Phone
- (660) 281-6601
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
116 S Lincoln Dr
Troy, MO 63379-1418
Mailing address
116 S Lincoln Dr
Troy, MO 63379-1418
Phone (636) 528-1996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504578303 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
3143 Highway 61
Hannibal, MO 63401
Phone (573) 221-8266
109 E Lafayette St
Monticello, MO 63457
Phone (573) 767-5436
116 S Lincoln Dr
Troy, MO 63379
Phone (636) 528-1996
395 Travis Blvd
Troy, MO 63379
Phone (636) 528-1996
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Windsor, MO
- NPI 1366468126
-
- Professional Counselor
- Troy, MO
- NPI 1043549041
-
- Clinical Psychologist
- Troy, MO
- NPI 1639406523
-
- Counselor
- Columbia, MO
- NPI 1336358472
-
- Professional Counselor
- Troy, MO
- NPI 1801077623
-
- Professional Counselor
- Troy, MO
- NPI 1326103896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1700820099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S LINCOLN DR",
"city": "TROY",
"state": "MO",
"postal_code": "633791418",
"telephone_number": "636-528-1996",
"fax_number": "636-528-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S LINCOLN DR",
"city": "TROY",
"state": "MO",
"postal_code": "633791418",
"telephone_number": "636-528-1996",
"fax_number": "636-528-1833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "660-281-6601",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504578303",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.