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MARYGROVE
NPI 1952385585
Residential Treatment Facility, Emotionally Disturbed Children in Florissant, MO

Active since December 06, 2005CLIA 26D2320273 · Waiver
2705 MULLANPHY LN, FLORISSANT, MO 63031(314) 830-6201(314) 830-6258 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marygrove NPPES

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

MARYGROVE (NPI 1952385585) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Florissant, Missouri and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Helen Negri, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952385585
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameMARYGROVE
Location Address2705 MULLANPHY LNFlorissant, MO 63031-3727
Mailing Address2705 Mullanphy LnFlorissant, MO 63031-3727 · (314) 830-6201 · Fax (314) 830-6258
Phone(314) 830-6201
Fax(314) 830-6258
Organization SubpartNo
Authorized OfficialHelen NegriCeo · (314) 830-6201
Enumeration DateDecember 6, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1952385585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2705 MULLANPHY LN, Florissant, MO 63031
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2320273

Marygrove · Florissant, MO
Active · expires Mar 13, 2027
CLIA Number26D2320273
Laboratory TypeResidential Treatment For
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorPatricia A. Foster-Staples
Laboratory Phone(314) 830-6201
Laboratory LocationMarygrove2705 Mullanphy Lane, Florissant, MO 63031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MS. JESSICA RAE STRASSNER MSW, LCSW
Social Worker (Clinical)
2705 MULLANPHY LN
FLORISSANT, MO 63031
St. Louis County (314) 830-6205
CHILD CENTER - MARYGROVE
Residential Treatment Facility, Emotionally Disturbed Children
2705 MULLANPHY LN
FLORISSANT, MO 63031
St. Louis County (314) 837-1702
LEAH KATE GREGORY LMSW
Social Worker (Clinical)
2705 MULLANPHY LN
FLORISSANT, MO 63031
St. Louis County (314) 584-6173
THERESA HANNEGAN M.S.
Counselor (Professional)
2705 MULLANPHY LN
FLORISSANT, MO 63031
St. Louis County (314) 830-6207
ELIZABETH ANN SJOBERG MSW
Social Worker (Clinical)
2705 MULLANPHY LN
FLORISSANT, MO 63031
St. Louis County (314) 830-6255
CHEYENNE DAVIDSON
Student in an Organized Health Care Education/Training Program
2705 MULLANPHY LN
FLORISSANT, MO 63031
St. Louis County (314) 830-6201
MR. MICHAEL RICHARD BAER M.A.
Social Worker (Clinical)
2705 MULLANPHY LN
FLORISSANT, MO 63031
St. Louis County (314) 830-6215
MAGGIE M GROSS MSW, LCSW
Social Worker (Clinical)
2705 MULLANPHY LN
FLORISSANT, MO 63031
St. Louis County (314) 830-6207

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 Marygrove's NPI number?

The NPI number for Marygrove is 1952385585. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Marygrove located?

Marygrove is located at 2705 Mullanphy Ln, Florissant, MO 63031. The listed phone number is (314) 830-6201.

What is Marygrove's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Does Marygrove hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2320273) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marygrove was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.