Active NPI
Christian Psychological & Family Services
- Psychologist
- Olivette, MO
National Provider Identifier
1972713758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P654MO
- Legal business name
- CHRISTIAN PSYCHOLOGICAL & FAMILY SERVICES
- Practice address
- 9378 Olive Blvd
Ste 314
Olivette, MO 63132 - Phone
- (314) 567-4994
- Fax
- (314) 567-8581
- NPI assigned
- May 23, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. John Thomas Trimble Sr., PHD
- Title
- Psychologist Pres CPFS
- Phone
- (314) 567-4994
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | P257 | TN | |
| Psychologist | 103T00000X | P654MO | MO | Primary |
Addresses
Primary practice location
9378 Olive Blvd
Ste 314
Olivette, MO 63132
Mailing address
9378 Olive Blvd
Ste 314
Olivette, MO 63132
Phone (314) 567-4994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3688245 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
9378 Olive Blvd
Ste 106
Saint Louis, MO 63132
Phone (314) 567-4994
9378 Olive Blvd
Ste 314
Saint Louis, MO 63132
Phone (314) 420-3580
331 Gallatin Pike S
Ste 14
Madison, TN 37115
Phone (314) 567-4994
Practitioners & affiliated clinicians
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.
-
- Professional Counselor
- Saint Louis, MO
- NPI 1053458356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972713758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9378 OLIVE BLVD",
"address_2": "STE 314",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "63132",
"telephone_number": "314-567-4994",
"fax_number": "314-567-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9378 OLIVE BLVD",
"address_2": "STE 314",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "63132",
"telephone_number": "314-567-4994",
"fax_number": "314-567-8581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN PSYCHOLOGICAL & FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRIMBLE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PSYCHOLOGIST PRES CPFS",
"authorized_official_telephone_number": "314-567-4994",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P257",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "P654MO",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3688245",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olivette, MO
- Byron Duvall D.D.S. Gateway, P.C.
- Care Giver Supply Inc.
- Amy Pedigo Carmichael, PHD, MED, MA, LMFT
- Sherine S Chambers, PLPC
- David Chernof, MSW, LCSW
- City of Olivette (Olivette Fire Department)
- Kristin Noelle Claggett, M.S., P.L.P.C.
- Chelsea Clark-Campbell
- Taylor Clark
- Latonia Ann Coates-Smith, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.