KATIE E WILSON (NPI# 1225185119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225185119 |
| Entity Type | Individual |
| Full Name | KATIE E WILSON |
| Credential | M.D. |
| Practice Address |
763 S. New Ballas Road Suite 110 St. Louis MO 63141 |
| Mailing Address |
5000 Cedar Plaza Parkway Suite 350 St. Louis MO 63128 |
| Practice Telephone | 3145691717 |
| Practice Fax Number | 3145690441 |
| Mailing Telephone | 3148434333 |
| Mailing Fax Number | 3148434856 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2011040150 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1225185119 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1861727273 | Katie Lynn Wilson | Licensed Practical Nurse | 3216 Dewey Pl Sw, Canton, OH 44710-1614 | 2009-10-03 |
| 1578738308 | Katie Kimmel Wilson | Counselor | 122 E Poplar Ave, Coeur D Alene, ID 83814-3436 | 2008-04-23 |
| 1871708263 | Katie Maud Wilson | Registered Nurse | Miami Valley Hospital, One Wyoming St, Dayton, OH 45409 | 2007-05-11 |
| 1083229298 | Katie Wilson | Behavior Technician | 1215 Hightower Trl Ste B120, Atlanta, GA 30350-6205 | 2020-09-14 |
| 1114487501 | Katie Dougherty Wilson | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033 | 2019-03-21 |
| 1538661509 | Katie Wilson | Speech-Language Pathologist | 4231 Dolly Ridge Rd, Vestavia, AL 35243-5703 | 2018-03-06 |
| 1073031100 | Katie Wilson | Nurse Practitioner | 1900 E Main St, Danville, IL 61832-5100 | 2017-09-08 |
| 1710401237 | Katie Wilson | Occupational Therapy Assistant | 1573 Muller Pkwy, Gardnerville, NV 89410-7918 | 2017-07-26 |
| 1588194229 | Katie Wilson | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2017-06-15 |
| Street Address |
763 S. NEW BALLAS ROAD SUITE 110 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1366692303 | Paul M. Packman Inc. | Psychiatry & Neurology | 8301 Maryland Ave., Suite 320, St. Louis, MO 63105 | 2008-09-26 |
| 1124129549 | John Paul Rutledge | Psychiatry & Neurology | 10420 Old Olive Street Road, Suite 202, St. Louis, MO 63141 | 2006-09-26 |
| 1245342161 | Gordon H. Robinson | Psychiatry & Neurology | 1170 Old Ballas Road, Suite 110, St. Louis, MO 63141 | 2006-08-31 |
| 1962414227 | Joseph Behrmann | Psychiatry & Neurology | 222 S Meramec Ave., Suite 201, St. Louis, MO 63105-3514 | 2006-08-13 |
| 1174149959 | Ryan Mischel | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz, St. Louis, MO 63110 | 2020-06-17 |
| 1447811765 | Timothy Kundaje | Psychiatry & Neurology | 1 Barnes-jewish Plaza, St. Louis, MO 63110 | 2019-06-26 |
| 1164837035 | Gemma Deguzman Espejo | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2014-06-30 |
| 1518199306 | William Albert Kelly | Psychiatry & Neurology | 8820 Ladue Rd., Suite 309, St. Louis, MO 63124 | 2009-08-13 |
| 1336269216 | Claudia T. Viamontes | Psychiatry & Neurology | 522 N. New Ballas, Suite 332, St. Louis, MO 63141 | 2007-04-02 |
| 1740399724 | Sherifa Fatima Iqbal | Psychiatry & Neurology | 1430 Olive St, Suite 500, St. Louis, MO 63103 | 2006-08-30 |
| Find all providers in ST. LOUIS | ||||
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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.