C Group Psychiatric Services Pc | |
224 S Woods Mill Rd Ste 670s Chesterfield MO 63017-3618 | |
(314) 849-0450 | |
(314) 849-0159 |
Full Name | C Group Psychiatric Services Pc |
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Speciality | Psychiatry & Neurology |
Location | 224 S Woods Mill Rd Ste 670s, Chesterfield, Missouri |
Authorized Official Name and Position | Rukmini Chilakamarri (OFFICE MANAGER) |
Authorized Official Contact | 3148490450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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C Group Psychiatric Services Pc 224 S Woods Mill Rd Ste 670s Chesterfield MO 63017-3618 Ph: (314) 849-0450 | C Group Psychiatric Services Pc 224 S Woods Mill Rd Ste 670s Chesterfield MO 63017-3618 Ph: (314) 849-0450 |
NPI Number | 1619142007 |
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Provider Enumeration Date | 04/25/2008 |
Last Update Date | 09/24/2020 |
Certification Date | 09/24/2020 |
Medicare PECOS PAC ID | 6103995469 |
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Medicare Enrollment ID | O20080513000585 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619142007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Srinivas Chilakamarri |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265539878 PECOS PAC ID: 3577632835 Enrollment ID: I20080513000574 |
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Child Neurology Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 S Woods Mill Rd, Suite 46w, Chesterfield, MO 63017 Phone: 314-275-7070 Fax: 314-275-2666 | |
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