Atlas Autism Health Missouri LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ATLAS AUTISM HEALTH MISSOURI LLC

Practice address

800 Cherry St Lowr Suites
Columbia, MO 65201-4824

Phone

(573) 200-6745

NPI assigned

Mar 3, 2023

Organization subpart

No

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

Authorized official

Name

Abishek Thiagaraj

Title

Owner

Phone

(248) 943-8811

Specialties & licenses 3

Addresses

Tax ID family

Atlas Autism Health Missouri LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Atlas Autism Health Missouri LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Solon, OH
  • NPI 1518817816
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelby Lynn Popkes, BCBA, LBA

  • Behavior Analyst
  • Columbia, MO
  • NPI 1922686989
  NPD (past)
• Kaitlyn Wright, BCBA

  • Behavior Analyst
  • Columbia, MO
  • NPI 1073173159
  NPD (past)

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1922708478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CHERRY ST LOWR SUITES",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014824",
            "telephone_number": "573-200-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHERRY ST LOWR SUITES",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014824",
            "telephone_number": "573-200-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS AUTISM HEALTH MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "THIAGARAJ",
        "authorized_official_first_name": "ABISHEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-943-8811"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly Ann Atkinson, NP-C
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• Jeanine Rachael Atwell, M.S.
• Jared Louis Atwood, D.D.S.
• Matthew Thomas Atwood
• Daniel Michael Au, M.D.

• Adolescent and Children Mental Health Clinic/Center in Columbia, MO
• Providers in Columbia, MO by specialty
• Adolescent and Children Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.