DR. PATRICIA M. BOEVER (NPI# 1073568069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073568069 |
Entity Type | Individual |
Full Name | DR. PATRICIA M. BOEVER |
Credential | PSYCHOLOGIST |
Practice Address |
8772 Big Bend Blvd Saint Louis MO 63119-3730 |
Practice Telephone | 3149627788 |
Practice Fax Number | 3149624158 |
Mailing Telephone | 3149627788 |
Mailing Fax Number | 3149624158 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2007-11-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00151 | MO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | VALUE OPTIONS | 009001 | 01 |
MO | MAGELLAN BEHAVIORAL HEALT | 458408 | 01 |
MO | MANAGED HEALTH NETWORK | 286897 | 01 |
MO | DIV OF FAMILY SEVCS | 399033 | 01 |
MO | FIRST HEALTH | 886503 | 01 |
MO | COMPSYCH | 143241 | 01 |
MO | MERCY HEALTH PLANS | R00664 | 01 |
MO | BLUE CROSS BLUE SHIELD | 17912 | 01 |
MO | CIGNA BEHAVIORAL HEALTH | 44494 | 01 |
MO | AETNA BEHAVIORAL HEALTH | 5935265 | 01 |
Street Address |
8772 BIG BEND BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63119-3730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104285246 | Patricia Ann Ferrugia | Social Worker | 8772 Big Bend Blvd, Creative Change,llc, Saint Louis, MO 63119-3730 | 2016-02-17 |
1902038904 | Cathy Flynn | Social Worker | 8772 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2009-08-10 |
1760515498 | Creative Change, LLC | Counselor | 8772 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2007-03-13 |
1902976541 | Ellen Levitz | Psychologist | 8772 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2006-11-09 |
1649340100 | Karen Yount | Counselor | 8772 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2006-11-09 |
1174620793 | Timothy J. Jovick | Psychologist | 8772 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2006-09-17 |
1578660106 | Lori E. Kiefer | Counselor | 8772 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2006-09-17 |
1255438883 | Karol A. Kiel | Psychologist | 8772 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2006-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
Find all providers in zip 63119 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
1265944466 | Brittany Jacobson | Psychologist | 1 Jefferson Barracks Rd # 116b, Saint Louis, MO 63125-4181 | 2017-10-27 |
1801316690 | David Howard Morris | Psychologist | 4921 Parkview Pl # 90-35703, Saint Louis, MO 63110-1032 | 2017-06-22 |
1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
1376980326 | Joshua Paul Beaman-kogan | Psychologist | 1 University Blvd # 232, Stadler Hall, Saint Louis, MO 63121-4400 | 2013-05-31 |
1104176064 | Brooke Kraushaar,psy.d,llc | Psychologist | 6321 Alamo Ave, Saint Louis, MO 63105-3103 | 2012-09-18 |
1326335837 | Jeremiah Weinstock | Psychologist | 3511 Laclede Ave, Shannon Hall, Room 208, Saint Louis, MO 63103-2010 | 2011-07-05 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63119 |
Please comment or provide details below to improve the information on DR. PATRICIA M. BOEVER.
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.