STATE OF MISSOURI (NPI# 1033289897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033289897 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSOURI |
| Other Organization Name | HAWTHORN CHILDREN'S PSYCHIATRIC HOSPTIAL |
| Practice Address |
1901 Pennsylvania Ave Saint Louis MO 63133-1325 |
| Mailing Address |
Po Box 687 Jefferson City MO 65102-0687 |
| Practice Telephone | 3145127800 |
| Practice Fax Number | 3145127812 |
| Mailing Telephone | 5737513398 |
| Mailing Fax Number | 5735264560 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Telephone | 5737514055 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MISSOURI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | EXEMPT | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 021774005 | 05 |
| Other Name | Type Code |
|---|---|
| Hawthorn Children's Psychiatric Hosptial | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437781499 | State of Missouri | Rehabilitation Counselor | 3418 Knipp Dr, Jefferson City, MO 65109-5701 | 2020-02-07 |
| 1275073280 | State of Missouri | General Practice | 1547 W Commerce Drive, Marshall, MO 65340-3907 | 2017-02-24 |
| 1528333085 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 N Colorado St, Nevada, MO 64772-1618 | 2012-03-16 |
| 1386843621 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15555 Little Blue Rd, Kansas City, MO 64139 | 2007-07-17 |
| 1922207679 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5410 Rinker Rd, Kansas City, MO 64129-2308 | 2007-07-13 |
| 1760681415 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 N River Blvd, Independence, MO 64050-1760 | 2007-07-13 |
| 1164630463 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 11 Brady Cir, Overland, MO 63114-1110 | 2007-05-18 |
| 1548322605 | State of Missouri | Day Training, Developmentally Disabled Services | 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 | 2006-12-15 |
| 1366503153 | State of Missouri | Day Training, Developmentally Disabled Services | 471 E Slater St, Marshall, MO 65340 | 2006-12-13 |
| 1427118033 | State of Missouri | Day Training, Developmentally Disabled Services | 522 Star St, Marshall, MO 65340 | 2006-12-12 |
| Street Address |
1901 PENNSYLVANIA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63133-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114158094 | Joy C Lai | Pharmacist | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2009-07-27 |
| 1295974699 | Larry Williams | Registered Nurse | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2009-02-10 |
| 1114121233 | Rhonda Marie Brown | Psychologist | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2007-06-13 |
| 1437360260 | State of Missouri | Case Management | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2007-05-24 |
| 1376753798 | State of Missouri | Psychologist | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2007-05-23 |
| 1093846651 | Alexandru Lucian Vasile | Psychiatry & Neurology | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2007-03-08 |
| 1669525523 | Marla Liberman | Psychologist | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2007-01-22 |
| 1639222599 | Michael Stake | Psychologist | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2007-01-22 |
| 1831242858 | Melody Ann Patterson | Registered Nurse | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2007-01-21 |
| 1568515740 | Kathleen Davis | Social Worker | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417512757 | Brandi Antoinette Currie | Home Health Aide | 6740 Schofied, Saint Louis, MO 63133 | 2019-05-02 |
| 1417358201 | Whitney Stallings | Nurse's Aide | 7122 El Tora Ave, Saint Louis, MO 63133 | 2014-09-11 |
| 1326524604 | Daniel D Bekele LLC | Clinic/Center | 6113 Ridge Ave, Saint Louis, MO 63133 | 2018-07-19 |
| 1881085256 | Cassandra Elizabeth Rouse | Physician Assistant | 6763 Page Ave, Saint Louis, MO 63133 | 2015-02-06 |
| 1124220504 | Infiniti Home Care, Inc. | Technician | 1321 Pennsylvania Ave, Saint Louis, MO 63133-1035 | 2007-06-05 |
| 1861782898 | N/a | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1318 Pennsylvania Ave, Saint Louis, MO 63133-1036 | 2011-04-11 |
| 1114138260 | Shirley B. Dillard | Dentist | 7956 Page Ave, Saint Louis, MO 63133-1128 | 2007-05-24 |
| 1740815752 | Angela Steed | Home Health | 7737 Underhill Dr, Saint Louis, MO 63133-1133 | 2020-03-10 |
| 1255713038 | Crystal Renee Moseley | Mechanotherapist | 7809 Utica Dr, Saint Louis, MO 63133-1141 | 2015-06-29 |
| 1598371155 | Roshonda S Sanderson | Chore Provider | 1948 Raft Dr, Saint Louis, MO 63133-1152 | 2020-09-18 |
| Find all providers in zip 63133 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346630852 | State of Missouri Department of Mental Health | Psychiatric Hospital | 5300 Arsenal St, Saint Louis, MO 63139-1463 | 2015-02-04 |
| 1942486634 | St. Anthony's Medical Center | Psychiatric Hospital | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2008-01-14 |
| 1578518239 | State of Missouri | Psychiatric Hospital | 5300 Arsenal St, Saint Louis, MO 63139-1463 | 2006-05-23 |
| 1821043589 | State of Missouri | Psychiatric Hospital | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485281 | Cape Girardeau Behavioral Health LLC | Psychiatric Hospital | 639 S Silver Springs Rd, Cape Girardeau, MO 63703-7539 | 2020-10-26 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1790115939 | Nhc Reliant Psychiatric Services LLC | Psychiatric Hospital | 840 Passover Road, Osage Beach, MO 65065-2834 | 2013-11-26 |
| 1649518382 | Comc | Psychiatric Hospital | 5260 S Tanager Ave, Battlefield, MO 65619-9222 | 2013-01-30 |
| 1528340841 | St. Louis Regional Psychiatric Stabilization Center | Psychiatric Hospital | 5355 Delmar Boulevard, St. Louis, MO 63112-3146 | 2011-09-13 |
| 1750692638 | Global Psychiatric Associates Inc | Psychiatric Hospital | 16216 Baxter Rd Ste 323, Chesterfield, MO 63017-4778 | 2010-06-25 |
| 1346485257 | Western Missouri Mental Health | Psychiatric Hospital | 1000 E. 24th Street, Kansas City, MO 64108 | 2008-12-05 |
| 1558541755 | Marie E (melissa) Ring | Psychiatric Hospital | 1010 West Columbia, Farmington, MO 63640 | 2007-11-06 |
| 1497795892 | Midwest Division - Rpc, LLC | Psychiatric Hospital | 2323 E 63rd St, Kansas City, MO 64130-3462 | 2006-06-07 |
| 1104878792 | State of Missouri | Psychiatric Hospital | 600 E 5th St, Fulton, MO 65251-1753 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63133 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.