Organization Active NPI

Zafar Rehmani LLC

  • Child & Adolescent Psychiatry Physician
  • Bridgeton, MO
National Provider Identifier
1982873394
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ZAFAR REHMANI LLC
Practice address
3466 Bridgeland Dr
Ste. 150
Bridgeton, MO 63044-2606
Phone
(314) 291-2500
Fax
(314) 291-2687
NPI assigned
Feb 29, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Pamela S Island
Title
Office Manager
Phone
(314) 209-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

3466 Bridgeland Dr
Ste. 150
Bridgeton, MO 63044-2606

Mailing address

PO Box 816
Saint Peters, MO 63376-0015
Phone (636) 352-2266

Other identifiers 1

IdentifierTypeStateIssuer
169404OtherMOANTHEM/BLUE CROSS BLUE SH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001442 MO Part B Supplier - Clinic/Group Practice 6002891355 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeton, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1982873394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 816",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633760015",
            "telephone_number": "636-352-2266",
            "fax_number": "314-256-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 BRIDGELAND DR",
            "address_2": "STE. 150",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442606",
            "telephone_number": "314-291-2500",
            "fax_number": "314-291-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAFAR REHMANI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "ISLAND",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-209-8222"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BLUE CROSS BLUE SH",
            "identifier": "169404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.

Verify at the official NPI Registry.