Teide Brisibe Ehimare, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2012003220 Issued in MO

Practice address

11325 Saint Charles Rock Rd
Bridgeton, MO 63044-2722

Phone

(636) 825-2200

Fax

(636) 825-2201

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment Care Compare group NPD
• Kints LLC

  • Adult Mental Health Clinic/Center
  • Chesterfield, MO
  • NPI 1336772912
  Medicare reassignment NPD Authorized official
• Adapt of Missouri, LLC

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1417004623
  Medicare reassignment NPD
• Clinical Research Associates, PC

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1063632826
  Medicare reassignment
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1982804704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JEFFERSON BARRACKS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442722",
            "telephone_number": "636-825-2200",
            "fax_number": "636-825-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr",
            "address_2": "DC067.00, MA202F",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-8006",
            "fax_number": "573-884-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Jefferson Barracks Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631254181",
            "country_code": "US",
            "telephone_number": "314-894-6552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Chesterfield Business Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630051271",
            "country_code": "US",
            "telephone_number": "636-825-2200",
            "fax_number": "636-825-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHIMARE",
        "first_name": "TEIDE",
        "middle_name": "BRISIBE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2012003220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Durham, BA
• Kaitlynn Dutzy
• Ebony Therapy LLC
• Ellen Lockard Edens, MD, MPE, MA
• Terry R Egan, DDS
• Norman J Ehlinger Jr., DO
• Craig Gerard Elinor, DMD
• Laura Elliott, FNP-C
• Maureen Ann Ellis, MSW, LCSW
• Neveen Osama Elnokrashy

• Psychiatry Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.