Active NPI
Quadri Behavioral LLC
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1760931653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 101435
- Legal business name
- QUADRI BEHAVIORAL LLC
- Practice address
- 9890 Clayton Rd Ste 100
Saint Louis, MO 63124-1685 - Phone
- (314) 222-5882
- Fax
- (314) 222-5883
- NPI assigned
- Oct 3, 2016
- Last updated
- Mar 7, 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
- Omar H Quadri, MD
- Title
- Owner
- Phone
- (314) 222-5882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 101435 | MO | Primary |
Addresses
Primary practice location
9890 Clayton Rd Ste 100
Saint Louis, MO 63124-1685
Mailing address
9890 Clayton Rd Ste 100
Saint Louis, MO 63124-1685
Phone (314) 222-5882
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071540162 | Other | MO | MEDICARE INDIVI PTAN |
| 101435 | Other | MO | LICENSE MEDICAL |
| 000050162 | Other | MO | MEDICARE PTAN |
| 24211 | Other | MO | CDS/BNDD |
| 1811071665 | Medicaid | MO | |
| 1811071665 | Other | MO | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1760931653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9890 CLAYTON RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241685",
"telephone_number": "314-222-5882",
"fax_number": "314-222-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9890 CLAYTON RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241685",
"telephone_number": "314-222-5882",
"fax_number": "314-222-5883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUADRI BEHAVIORAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-03",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "QUADRI",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-222-5882",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "101435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVI PTAN",
"identifier": "071540162",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE MEDICAL",
"identifier": "101435",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000050162",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS/BNDD",
"identifier": "24211",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811071665",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1811071665",
"state": "MO"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.