INNOVATIVE MENTAL HEALTH SERVICES (NPI# 1841810025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841810025 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE MENTAL HEALTH SERVICES |
| Practice Address |
12747 Olive Blvd Ste 300 Saint Louis MO 63141-6269 |
| Mailing Address |
1231 Shorewinds Trl Saint Charles MO 63303-4833 |
| Practice Telephone | 3145824398 |
| Mailing Telephone | 3142968933 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | MRS. BRENDA D. BUSH (NURSE PRACTITIONER/PROVIDER) |
| Authorized Official Telephone | 3142968933 |
| Authorized Official Credential | FNP-C, PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12747 OLIVE BLVD STE 300 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316192610 | Brenda D. Bush | Nurse Practitioner | 12747 Olive Blvd Ste 300, Saint Louis, MO 63141-6269 | 2008-12-01 |
| 1396244828 | Christina Kenney | Specialist | 12747 Olive Blvd Ste 300, Saint Louis, MO 63141-6269 | 2018-02-11 |
| 1841709748 | Caring Angels Health Services | Home Health | 12747 Olive Blvd Ste 300, Saint Louis, MO 63141-6269 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1619433125 | Kacey Alexandra Patterson | Nurse Practitioner | 4219 Laclede Ave Ste B, Saint Louis, MO 63108-2814 | 2019-02-20 |
| 1245708239 | Anne Leslie Thatcher | Nurse Practitioner | 915 N Grand Blvd Ofc C123, Saint Louis, MO 63106-1621 | 2018-11-07 |
| 1194271163 | Amanda Maria Kearney | Nurse Practitioner | 555 N New Ballas Rd Ste 220, Saint Louis, MO 63141 | 2016-08-30 |
| 1033722061 | Ashley Maull | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-28 |
| 1992315857 | Corey Weicht | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-05 |
| 1063021905 | Alexandria Colleen Grodie | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-27 |
| 1386284990 | Virginia Cozon Lanzotti | Nurse Practitioner | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2020-01-11 |
| 1700423076 | Faisal Matar | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-12-05 |
| 1225674419 | Chris Elaine Roberts | Nurse Practitioner | 4130 Lindell Blvd, Saint Louis, MO 63108-2914 | 2019-11-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on INNOVATIVE MENTAL HEALTH SERVICES.
| 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.