Organization Active NPI

Jennings Medical Center Inc

  • Addiction Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1770579195
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
JENNINGS MEDICAL CENTER INC
Practice address
6917 W Florissant Ave
Saint Louis, MO 63136-3638
Phone
(314) 383-1100
Fax
(314) 383-4929
NPI assigned
Sep 21, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Nargis J Ahmad
Title
Office Manager
Phone
(314) 383-1100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Psychiatry Physician 2084P0800X
Addiction Psychiatry Physician 2084P0802X Primary
Geriatric Psychiatry Physician 2084P0805X

Addresses

Primary practice location

6917 W Florissant Ave
Saint Louis, MO 63136-3638

Mailing address

6917 W Florissant Ave
Saint Louis, MO 63136-3638
Phone (314) 383-1100

National Provider Directory

National Provider Directory

Locations

6917 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 383-1100

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770579195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363638",
            "telephone_number": "314-383-1100",
            "fax_number": "314-383-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363638",
            "telephone_number": "314-383-1100",
            "fax_number": "314-383-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "NARGIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-383-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.