BROOKE KRAUSHAAR,PSY.D,LLC


Address: 6321 Alamo Ave, Saint Louis, MO 63105-3103
Phone: 3142102001

BROOKE KRAUSHAAR,PSY.D,LLC (NPI# 1104176064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104176064
Entity Type Organization
Organization Name BROOKE KRAUSHAAR,PSY.D,LLC
Practice Address 6321 Alamo Ave
Saint Louis
MO 63105-3103
Mailing Address 9890 Clayton Rd
Suite 100
Saint Louis
MO 63124-1685
Practice Telephone 3142102001
Mailing Telephone 3142102001
Enumeration Date 2012-09-18
Last Update Date 2012-09-18
Authorized Official Name DR. BROOKE E KRAUSHAAR (PRESIDENT)
Authorized Official Telephone 3142102001
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2007003961 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO NPI 1477685477 01

Office Location

Street Address 6321 ALAMO AVE
City SAINT LOUIS
State MO
Zip Code 63105-3103

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
1326335837 Jeremiah Weinstock Psychologist 3511 Laclede Ave, Shannon Hall, Room 208, Saint Louis, MO 63103-2010 2011-07-05
1013237957 Christi Moore Psychologist 6347 Plymouth Ave, Saint Louis, MO 63133-1909 2010-06-02
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Competitor

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City SAINT LOUIS
Zip Code 63105

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Dataset Information

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.

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