Active NPI
MCCB Transitions, Inc.
- Mental Illness Community Based Residential Treatment Facility
- Saint Louis, MO
National Provider Identifier
1861665846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- ERO19908010
- Legal business name
- MCCB TRANSITIONS, INC.
- Practice address
- 4110 Saint Louis Ave
Saint Louis, MO 63115-3218 - Phone
- (314) 371-1657
- Fax
- (314) 371-4333
- NPI assigned
- Apr 10, 2008
- 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
- Ms. Mary L Barfield
- Title
- Executive Director
- Phone
- (314) 371-1657
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | ERO19908010 | MO | Primary |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | ERO19908010 | MO |
Addresses
Primary practice location
4110 Saint Louis Ave
Saint Louis, MO 63115-3218
Mailing address
4110 Saint Louis Ave
Saint Louis, MO 63115-3218
Phone (314) 371-1657
National Provider Directory
National Provider Directory- Tax ID family
- MCCB Transitions Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Saint Louis, MO
- NPI 1366646481
-
- Mental Illness Community Based Residential Treatment Facility
- Saint Louis, MO
- NPI 1396863031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1861665846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 SAINT LOUIS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631153218",
"telephone_number": "314-371-1657",
"fax_number": "314-371-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 SAINT LOUIS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631153218",
"telephone_number": "314-371-1657",
"fax_number": "314-371-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCB TRANSITIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "BARFIELD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "314-371-1657",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "MO",
"license": "ERO19908010",
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": "ERO19908010",
"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 Apr 10, 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.