Organization Active NPI

MCCB Transitions, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Louis, MO
National Provider Identifier
1861665846
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
ERO19908010 Issued in MO
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

Updated by the provider on Apr 10, 2008

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)CodeLicenseStatePrimary
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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.