Behavioral Medicine Association of Austin, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N5440 Issued in TX

Legal business name

BEHAVIORAL MEDICINE ASSOCIATION OF AUSTIN, PLLC

Practice address

231 W Lockwood Ave Ste 201
Saint Louis, MO 63119-2951

Phone

(314) 968-1901

NPI assigned

Jun 4, 2013

Last updated

Jun 4, 2013By 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

Mrs. Kimberli McCallum, M.D.NPI 1144202102

Title

Manager

Phone

(314) 968-1900

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kimberli Etta McCallum, MD

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1144202102
  Authorized official Same address or phone

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1881032522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVE RD STE 104",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465206",
            "telephone_number": "512-732-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W LOCKWOOD AVE STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192951",
            "telephone_number": "314-968-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE ASSOCIATION OF AUSTIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "KIMBERLI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-968-1900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N5440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavior by Design Mo LLC
• Behavior Consultants, LLC
• Behavior Intervention Services
• Behavior Therapy Specialists of Il and Mo, LLC
• Behavioral Health Response, Inc
• Hushyar Behbahani, DO
• Frederick Vincent Behm, MD
• Amanda Margaret Behnen, PA-C
• Nancy M Behnen, A.A.
• Pamela A Behnen, LPC

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.