COMMUNITY & LONG-TERM CARE PSYCHIATRY LLC
NPI 1528415536
Behavior Analyst in Saint Louis, MO

Q: What is Community & Long-Term Care Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since May 19, 2016

10004 KENNERLY RD, STE 362B, SAINT LOUIS, MO 63128(314) 849-0450(314) 849-0159 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Community & Long-term Care Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY & LONG-TERM CARE PSYCHIATRY LLC (NPI 1528415536) is a healthcare organization registered as a behavior analyst in Saint Louis, Missouri and active in the NPI registry since May 2016. The organization lists Betty Jane Dickerman, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1528415536

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameCOMMUNITY & LONG-TERM CARE PSYCHIATRY LLC

Location Address10004 KENNERLY RD, STE 362BSaint Louis, MO 63128-2141

Mailing Address10004 Kennerly Rd, Ste 362bSaint Louis, MO 63128-2141 · (314) 849-0450 · Fax (314) 849-0159

Phone(314) 849-0450

Fax(314) 849-0159

Organization SubpartNo

Authorized OfficialBetty Jane DickermanBilling Manager · (314) 849-0450

Enumeration DateMay 19, 2016

✔ NPI 1528415536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MO · 2015002634

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

10004 KENNERLY RD, Saint Louis, MO 63128

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Other Identifiers 2

Medicaid1265723407MO

Medicare PIN156440097MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID EARL GOODMAN DDS

Dentist (General Practice)

10004 KENNERLY RD, SUITE 240
ST LOUIS, MO 63128

St. Louis County (314) 849-3234

DR. ABRAHAM BLAIN MEDARIS MD

Psychiatry & Neurology (Psychiatry)

10004 KENNERLY RD, STE 364B
SAINT LOUIS, MO 63128

St. Louis County (314) 525-4429

VINCENT P FORTUNATO MD LLC

Internal Medicine

10004 KENNERLY RD, 255A
SAINT LOUIS, MO 63128

St. Louis County (314) 843-5140

PAIN CARE INNOVATIONS

Durable Medical Equipment & Medical Supplies

10004 KENNERLY RD, SUITE 250A
SAINT LOUIS, MO 63128

St. Louis County (314) 849-8399

DR. SYLVIA ANN STEILING M.D.

Surgery

10004 KENNERLY RD, STE 137A
SAINT LOUIS, MO 63128

St. Louis County (314) 849-2727

ST ANTHONYS PROFESSIONAL PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

10004 KENNERLY RD, SUITE 130
SAINT LOUIS, MO 63128

St. Louis County (314) 525-4777

FRANK H GAFFORD MD, PC

Internal Medicine (Cardiovascular Disease)

10004 KENNERLY RD, SUITE 283B
SAINT LOUIS, MO 63128

St. Louis County (314) 707-8319

HAND SURGERY ASSOCIATES P C

Specialist

10004 KENNERLY RD, SUITE 259B
SAINT LOUIS, MO 63128

St. Louis County (314) 842-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community & Long-Term Care Psychiatry LLC's NPI number?

The NPI number for Community & Long-Term Care Psychiatry LLC is 1528415536. It was assigned to this organization in the NPPES registry on May 19, 2016.

Where is Community & Long-Term Care Psychiatry LLC located?

Community & Long-Term Care Psychiatry LLC is located at 10004 Kennerly Rd Ste 362B, Saint Louis, MO 63128. The listed phone number is (314) 849-0450.

What is Community & Long-Term Care Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Community & Long-Term Care Psychiatry LLC was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.