Active NPI
Hope Psychiatric Services LLC
- Psychiatry Physician
- Chesterfield, MO
National Provider Identifier
1972919553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2002031642
- Legal business name
- HOPE PSYCHIATRIC SERVICES LLC
- Practice address
- 15992 Trowbridge Rd
Chesterfield, MO 63017-7339 - Phone
- (573) 529-1036
- NPI assigned
- Jul 3, 2014
- Last updated
- Jul 3, 2014
- 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
- Bhaskar Gowda, M.D.
- Title
- Owner
- Phone
- (573) 529-1036
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2002031642 | MO | Primary |
Addresses
Primary practice location
15992 Trowbridge Rd
Chesterfield, MO 63017-7339
Mailing address
PO Box 1221
Ballwin, MO 63022-1221
Phone (573) 529-1036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
214 Hartman Pl
Ste 100
Saint Clair, MO 63077
Phone (636) 629-6161
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.
-
- Psychiatry Physician
- Sullivan, MO
- NPI 1750367967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404345600000",
"number": "1972919553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1221",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630221221",
"telephone_number": "573-529-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15992 TROWBRIDGE RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630177339",
"telephone_number": "573-529-1036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A",
"authorized_official_last_name": "GOWDA",
"authorized_official_first_name": "BHASKAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-529-1036",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2002031642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.