Active NPI
Melissa Bagley
- Behavior Technician
- Saint Peters, MO
National Provider Identifier
1962906495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 94 Hollister CT
Saint Peters, MO 63376 - Phone
- (314) 287-1825
- Fax
- (314) 338-4159
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
94 Hollister CT
Saint Peters, MO 63376
Mailing address
94 Hollister CT
Saint Peters, MO 63376-7837
Other practice location 1
1601 McQuade Dr
Saint Peters, MO 63376-7804
Phone (314) 305-0041
Other practice location 2
1601 McQuade Dr
Saint Peters, MO 63376-7804
Phone (314) 305-0041
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Saint Peters, MO
- NPI 1821408501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavior Services, LLC | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1962906495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 HOLLISTER CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 HOLLISTER CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "63376",
"telephone_number": "314-287-1825",
"fax_number": "314-338-4159"
}
],
"practiceLocations": [
{
"address_1": "1601 McQuade Dr",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633767804",
"country_code": "US",
"telephone_number": "314-305-0041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 McQuade Dr",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633767804",
"country_code": "US",
"telephone_number": "314-305-0041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGLEY",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.