CASTLEWOOD TREATMENT CENTER LLC (NPI# 1790954410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790954410 |
| Entity Type | Organization |
| Organization Name | CASTLEWOOD TREATMENT CENTER LLC |
| Other Organization Name | CASTLEWOOD TREATMENT CENTER OUTPATIENT SERVICES |
| Practice Address |
1855 Bowles Ave, Suite 210 Fenton MO 63026 |
| Mailing Address |
1260 St. Paul Rd Ballwin MO 63021 |
| Practice Telephone | 6367791430 |
| Practice Fax Number | 3146864920 |
| Mailing Telephone | 3149685545 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | ANDREW ESTERER (CFO) |
| Authorized Official Telephone | 6367791444 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASTLEWOOD TREATMENT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6612-10528 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Castlewood Treatment Center Outpatient Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336596832 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1268 Saint Paul Rd, Ballwin, MO 63021-8207 | 2016-05-16 |
| 1073830139 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1260 St. Paul Road, St. Louis, MO 63021 | 2010-04-29 |
| 1568554822 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 800 Holland Road, Ballwin, MO 63021-7230 | 2006-09-28 |
| Street Address |
1855 BOWLES AVE, SUITE 210 |
| City | FENTON |
| State | MO |
| Zip Code | 63026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| 1871718593 | Julia K Holzhausen | Speech-Language Pathologist | 1664 Ivy Chase Lane, Fenton, MO 63026 | 2007-04-16 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427390178 | Fenton Behavioral Health Services | Community/Behavioral Health | 1122 N Leroy St Ste C, Fenton, MI 48430-2789 | 2013-03-20 |
| 1841551389 | Res-care Premier, Inc. | Community/Behavioral Health | 16020 Jennings Rd, Fenton, MI 48430-9125 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799360 | Alternative Interventions, Inc. | Community/Behavioral Health | 500 Nw Plaza Dr Ste 500, Saint Ann, MO 63074-2220 | 2020-10-26 |
| 1679171177 | Preferred Path LLC | Community/Behavioral Health | 1619 Summer Run Dr Unit 23, Florissant, MO 63033-6440 | 2020-10-15 |
| 1790398329 | Walking Each Other Home Wellness LLC | Community/Behavioral Health | 5149 Dresden Ave, Saint Louis, MO 63116-1325 | 2020-08-24 |
| 1487271839 | Irma Hagarty Counseling Services LLC | Community/Behavioral Health | 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 | 2020-07-01 |
| 1649892779 | Ip Reserve | Community/Behavioral Health | 21332 Midway Ave, Gallatin, MO 64640-6314 | 2020-05-12 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
| 1497399414 | Good Vibes Counseling Services | Community/Behavioral Health | 2002 Madison 417, Fredericktown, MO 63645-7002 | 2019-11-01 |
| 1528601614 | Worryfree Enterprises LLC | Community/Behavioral Health | 14491 Soho Dr, Florissant, MO 63034-2651 | 2019-10-22 |
| Find all providers with the same taxonomy | ||||
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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.