C Care LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

2000146081 Issued in MO

Legal business name

C CARE LLC

Practice address

224 S Woods Mill Rd
Suite 550 South Tower
Chesterfield, MO 63017-3513

Phone

(314) 576-3638

Fax

(314) 576-3635

NPI assigned

May 16, 2016

Last updated

May 16, 2016By 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

Imran Chishti, MDNPI 1740220557

Title

Owner

Phone

(314) 576-3638

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Imran Chishti, M.D.

  • Psychiatry Physician
  • Chesterfield, MO
  • NPI 1740220557
  Medicare reassignment Authorized official
• Eyerusalem Beyene, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Charles, MO
  • NPI 1487584231
  Medicare reassignment
• Denise R Etherton, LPC

  • Mental Health Counselor
  • Wesley Chapel, FL
  • NPI 1932675782
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1811344328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 550 SOUTH TOWER",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-576-3638",
            "fax_number": "314-576-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 550 SOUTH TOWER",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-576-3638",
            "fax_number": "314-576-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "CHISHTI",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-576-3638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MO",
            "license": "2000146081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740220557",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Ferrell Butler, M.D.
• Tucker McKenzie William Butler, PMHNP
• Sofia Butt, PHARMD.
• Donna Byas
• Ann Marie Byrd, RN, MSN, FNP-BC
• C Group Psychiatric Services PC
• Kaitlin Cablish, M.S., CF-SLP
• Patrick A Cabrera, DO
• Abigail Eileen Cafazza, HIS
• Elizabeth Vanderlip Cairns-Callen, LCSW

• Addiction Psychiatry Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Addiction Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.