DR. WILLIAM MARTIN IRVIN SR. (NPI# 1093807059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093807059 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MARTIN IRVIN SR. |
| Credential | MD |
| Practice Address |
1201 Bellevue Ave Saint Louis MO 63117-1701 |
| Practice Telephone | 3146474788 |
| Practice Fax Number | 3146476305 |
| Mailing Telephone | 3146474788 |
| Mailing Fax Number | 3146476305 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
26142 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200438315 | 05 | |
| MENTAL HEALTH NETWORK | 203025 | 01 | |
| BLUE CROSS BLUE SHIELD | 3678 | 01 | |
| RR MEDICARE | P00049381 | 01 | |
| UNITED HEALTHCARE | 1583246 | 01 | |
| HEALTHLINK | 423981 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881600 | William R Irvin | Counselor | 7321 New Lagrange Rd, Suite 203, Louisville, KY 40222-4800 | 2005-12-14 |
| 1700903242 | William Johnson Irvin Jr. | Specialist | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2007-03-22 |
| 1942392931 | William M Irvin Jr. | Psychiatry & Neurology | 11477 Olde Cabin Rd Ste 210, Saint Louis, MO 63141-7129 | 2006-09-28 |
| 1114938768 | William Sean Irvin | Physician Assistant | 112 John St, Suite 201, Easley, SC 29640-1472 | 2006-08-10 |
| 1285682740 | William S. Irvin | Internal Medicine | 401 N Keene St, Columbia, MO 65201-6625 | 2006-05-05 |
| 1588628580 | William Paul Irvin | Obstetrics & Gynecology | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 | 2006-04-14 |
| Street Address |
1201 BELLEVUE AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144246380 | Katherine P. Buchowski | Psychiatry & Neurology | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2006-07-14 |
| 1326693904 | Jesus Ligot Md LLC | Clinic/Center | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2019-08-09 |
| 1811417363 | Richard Yakimo | Nurse Practitioner | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2017-06-26 |
| 1699129106 | Shelby Arsenault | Social Worker | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2016-04-20 |
| 1023310869 | Teresa A Brown | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2010-11-30 |
| 1104028950 | Educational & Psychological Svcs LLC | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-06-04 |
| 1265570592 | Jeffrey E Boatman | Clinical Nurse Specialist | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1194863431 | Theresa C Kormos | Clinical Nurse Specialist | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1902944259 | Peggy A Szwabo | Social Worker | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1790823060 | Sky, LLC | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1992127492 | St. Anthony's Physician Organization | Psychiatry & Neurology | 10020 Kennerly Rd Fl 2, Saint Louis, MO 63128-2106 | 2014-01-17 |
| 1942644349 | Tianyuan Yin Cornell | Psychiatry & Neurology | 10020 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-04-29 |
| 1881943223 | Jessica Christine Oetting Rosenkvist | Psychiatry & Neurology | Washington University Department of Psychiatry, Campus Box 8134, Saint Louis, MO 63110-1010 | 2012-08-30 |
| 1902111388 | Daniel Murray | Psychiatry & Neurology | 4907 W Pine Blvd, Apt 318, Saint Louis, MO 63108 | 2010-08-10 |
| 1467767913 | Marie Walker | Psychiatry & Neurology | Wash U School of Medicine, 660 S Euclid Ave, Department of Psychiatry, Saint Louis, MO 63110 | 2010-08-09 |
| 1871804914 | Alexander E Graypel | Psychiatry & Neurology | 10004 Kennerly Rd Ste 362b, Saint Louis, MO 63128-2178 | 2010-06-23 |
| 1295051548 | Enquan Gao | Psychiatry & Neurology | 815 Renee Ln, Saint Louis, MO 63141-7642 | 2010-04-12 |
| 1124342894 | John Henry Sweet | Psychiatry & Neurology | 4930 Pershing Pl, Saint Louis, MO 63108-1202 | 2010-03-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.