ANNIE MALONE CHILDREN AND FAMILY SERVICE CENTER – NPI #1942449194
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

ANNIE MALONE CHILDREN AND FAMILY SERVICE CENTER is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1942449194 to ANNIE MALONE CHILDREN AND FAMILY SERVICE CENTER on February 11, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 6 years ago on Feb 05, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNIE MALONE CHILDREN AND FAMILY SERVICE CENTER below.

NPI Profile for
ANNIE MALONE CHILDREN AND FAMILY SERVICE CENTER

NPI Number
1942449194
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANNIE MALONE CHILDREN AND FAMILY SERVICE CENTER
Primary location
5355 PAGE AVENUE
SAINT LOUIS, MO 63112
Phone: (314) 531-0120 Fax: (314) 531-0125
Mailing address
2612 ANNIE MALONE DRIVE
ST. LOUIS, MO 63113
Phone: (314) 531-0120 Fax: (314) 531-0125
Organization Subpart
No
Authorized Official
CHANNEL THOMAS
DIRECTOR OF CLINICAL AND OUTPATIENT
Phone: (314) 565-1110
Updated
Certification Date
Feb 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ANNIE MALONE CHILDREN AND FAMILY SERVICE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO1942449194
MEDICAIDMO506278209
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
[email protected]
Content Type
Affiliation
N
Endpoint Location
5355 PAGE AVENUE,
ST. LOUIS, MO 77025-1669