Organization Active NPI

Sas Family Psychiatric Consulting LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fenton, MO
National Provider Identifier
1720955461
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAS FAMILY PSYCHIATRIC CONSULTING LLC
Practice address
1710 Fenpark Dr Ste 506
Fenton, MO 63026-2920
Phone
(314) 937-6253
Fax
(314) 405-9397
NPI assigned
Oct 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Samantha Saale, PMHNPNPI 1255028411
Title
Owner
Phone
(314) 937-6253

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1710 Fenpark Dr Ste 506
Fenton, MO 63026-2920

Mailing address

1710 Fenpark Dr Ste 506
Fenton, MO 63026-2920
Phone (314) 937-6253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118000337 MO Part B Supplier - Clinic/Group Practice 9335630367 Receives reassigned benefits from 1 practitioner
Practice locations: Fenton, MO

National Provider Directory

National Provider Directory

Locations

1710 Fenpark Dr
Ste 506
Fenton, MO 63026
Phone (314) 937-6253

Practitioners & affiliated clinicians

Practitioners 1

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": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1720955461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 FENPARK DR STE 506",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262920",
            "telephone_number": "314-937-6253",
            "fax_number": "314-405-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 FENPARK DR STE 506",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262920",
            "telephone_number": "314-937-6253",
            "fax_number": "314-405-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAS FAMILY PSYCHIATRIC CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "SAALE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-937-6253",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.

Verify at the official NPI Registry.