STATE OF MISSOURI (NPI# 1437360260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437360260 |
| 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 |
1706 E Elm St Jefferson City MO 65101-4130 |
| Practice Telephone | 3145127800 |
| Mailing Telephone | 5737513398 |
| Mailing Fax Number | 5735264560 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-31 |
| 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 | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 156175408 | 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 |
|---|---|---|---|---|
| 1033289897 | State of Missouri | Psychiatric Hospital | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2006-11-09 |
| 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 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122497 | D&n Services Unlimited | Case Management | 1851 Arrowpoint Dr, Saint Louis, MO 63138-1515 | 2018-07-31 |
| 1952800427 | The Community Counseling & Housing Services | Case Management | 10069 Tappan Dr, Saint Louis, MO 63137-2049 | 2018-02-09 |
| 1508365198 | The Community Counseling & Housing Services | Case Management | 460 Shepley Dr, Saint Louis, MO 63137-4026 | 2018-02-08 |
| 1215436803 | The Community Counseling & Housing Services | Case Management | 4546 Ashland Ave, Saint Louis, MO 63115-2330 | 2018-02-08 |
| 1669825865 | P and N Wellness Group, LLC | Case Management | 113 Perthshire Rd, Saint Louis, MO 63137-3806 | 2016-07-22 |
| 1568828341 | Amerahealth Home Care, LLC | Case Management | 3211 Woodson Rd, Saint Louis, MO 63114-4716 | 2016-01-08 |
| 1093187171 | Victor J Whittier Sr LLC | Case Management | 1108 Cove Ln, Saint Louis, MO 63138-3047 | 2015-10-28 |
| 1467742122 | Living Life Long, LLC | Case Management | 303 Union Blvd, Suite 300, Saint Louis, MO 63108-4400 | 2011-04-14 |
| 1184938805 | Response Care Solutions Group LLC | Case Management | 3407 S Jefferson Ave, Saint Louis, MO 63118-3119 | 2010-08-05 |
| 1598999328 | Autonomous Case Management of St Louis | Case Management | 11906 Manchester Rd Ste 110, Saint Louis, MO 63131-4504 | 2009-05-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63133 |
Please comment or provide details below to improve the information on STATE OF MISSOURI.
| 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.