Organization Active NPI

Christian Psychological & Family Services

  • Psychologist
  • Olivette, MO
National Provider Identifier
1972713758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P654MO Issued in MO
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3688245MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.