San Francisco Temple Multiplex

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

392 Issued in MO

Legal business name

SAN FRANCISCO TEMPLE MULTIPLEX

Practice address

5341 Emerson Ave
Saint Louis, MO 63120-2511

Phone

(314) 383-4863

Fax

(314) 381-4255

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Yvonne Cecelia Henderson, R.N.

Title

Assistant Administrator

Phone

(314) 383-4863

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1851593461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 EMERSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631202511",
            "telephone_number": "314-383-4863",
            "fax_number": "314-381-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 EMERSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631202511",
            "telephone_number": "314-383-4863",
            "fax_number": "314-381-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO TEMPLE MULTIPLEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "CECELIA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "314-383-4863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MO",
            "license": "392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Samuel, MA, CCC-SLP
• Amanda Samuels, LPC
• Erin K. Samuels, M.D.
• Whitney Samuels
• Shushanna Samvelian, MD
• Amy San, RDN
• Kaykay San, DO
• Sana Psychiatry
• Deborah Lynn Sanazaro, RN
• Sarah Sanburn, LPC

• Custodial Care Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Custodial Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.