ST. LOUIS PSYCHIATRY DOCTORS GROUP, LLC (NPI# 1093727471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093727471 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS PSYCHIATRY DOCTORS GROUP, LLC |
| Practice Address |
2639 Miami St Saint Louis MO 63118-3929 |
| Mailing Address |
1836 Lackland Hill Pkwy Saint Louis MO 63146-3572 |
| Practice Telephone | 3142686195 |
| Practice Fax Number | 3142686155 |
| Mailing Telephone | 3148721439 |
| Mailing Fax Number | 3148101399 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | DR. MUHAMMAD ARAIN (OWNER/MEDICAL DOCTOR) |
| Authorized Official Telephone | 3142686195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
2006014089 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2639 MIAMI ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366070633 | William Carl Haynes | Psychologist | 2639 Miami St, 2 West, Saint Louis, MO 63118-3929 | 2020-03-31 |
| 1316384092 | Adrea Q Curry | Registered Nurse | 2639 Miami St, 4th Floor, Saint Louis, MO 63118-3929 | 2013-06-04 |
| 1770855371 | Richelle D Moore | Registered Nurse | 2639 Miami St, 4th Floor, Saint Louis, MO 63118-3929 | 2012-01-30 |
| 1578849915 | Marsha L Fountain | Registered Nurse | 2639 Miami St, 4th Floor, Saint Louis, MO 63118-3929 | 2011-10-31 |
| 1114220779 | Young In Spirit Adult Daycare, LLC | Clinic/Center | 2639 Miami St, Saint Louis, MO 63118-3929 | 2010-12-20 |
| 1083893283 | Steven Wymer | Counselor | 2639 Miami St, Saint Louis, MO 63118-3929 | 2007-10-24 |
| 1265638548 | James R Fox | Counselor | 2639 Miami St, Saint Louis, MO 63118-3929 | 2007-06-25 |
| 1972622397 | Rebecca Lorenz | Registered Nurse | 2639 Miami St, Saint Louis, MO 63118-3929 | 2007-03-28 |
| 1710084389 | Henry Dralle Onken | Surgery | 2639 Miami St, Saint Louis, MO 63118-3929 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770743189 | Vadim Baram Md, Inc. | Psychiatry & Neurology | 10420 Old Olive Street Rd Ste 205, Saint Louis, MO 63141-5937 | 2008-06-10 |
| 1174008452 | Rita Khoury | Psychiatry & Neurology | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2018-10-02 |
| 1669691366 | St Louis University | Psychiatry & Neurology | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2007-04-24 |
| 1942392931 | William M Irvin Jr. | Psychiatry & Neurology | 11477 Olde Cabin Rd Ste 210, Saint Louis, MO 63141-7129 | 2006-09-28 |
| 1316990989 | Pratibha Nagenhalli Gurusiddaiya | Psychiatry & Neurology | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902910615 | Dilip Gogineni | Psychiatry & Neurology | John J.pershing Vamc, 1500 Westwood Blvd, Poplar Bluff, MO 63901 | 2006-08-18 |
| 1013917525 | Andrew Lovy | Psychiatry & Neurology | 303 Weller St, Macon, MO 63552-1942 | 2005-07-26 |
| 1447452149 | Maritza Buenaver | Psychiatry & Neurology | 4801 E Linwood Blvd, 2jpp, Kansas City, MO 64128-2226 | 2007-06-04 |
| 1174587703 | Arturo G Quiason | Psychiatry & Neurology | 17221 E 23rd St S, #206, Independence, MO 64057-1803 | 2006-04-12 |
| City | SAINT LOUIS |
| Zip Code | 63118 |
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| 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.