Westend Clinic

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

17053498 Issued in MO

Legal business name

WESTEND CLINIC

Practice address

5736 W Florissant Ave
Saint Louis, MO 63120-2457

Phone

(314) 381-0560

Fax

(314) 381-2747

NPI assigned

Mar 20, 2007

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wardell John Carter

Title

President

Phone

(314) 381-0560

Specialties & licenses 1

Addresses

Tax ID family

West End Clinic2 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.

• West End Clinic

  • Rehabilitation Clinic/Center
  • Saint Louis, MO
  • NPI 1770939522
  NPD tax ID

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1730204967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631202457",
            "telephone_number": "314-381-0560",
            "fax_number": "314-381-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631202457",
            "telephone_number": "314-381-0560",
            "fax_number": "314-381-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTEND CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "WARDELL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-381-0560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MO",
            "license": "17053498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey E Westbrook, CRNA
• Shalisa S Westbrook
• Thomas Christopher Westbrook, MD
• Jayden Michael Westbrooks
• Sonja Zorah Westcott
• Westend Medical Center PC
• Eleanor Wester, M.S. CCC-SLP
• Elena M Westerheide, PA
• Robert Francis Westerheide II, ACNP
• Claudia L Westerhold-McDaniel, CRNA

• Substance Abuse Rehabilitation Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Substance Abuse Rehabilitation Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.