DR. JUAN CARLOS CORVALAN (NPI# 1306883509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306883509 |
| Entity Type | Individual |
| Full Name | DR. JUAN CARLOS CORVALAN |
| Credential | M.D. |
| Practice Address |
1 Jefferson Barracks Rd Vamc-st.louis Saint Louis MO 63125-4181 |
| Mailing Address |
1 Jefferson Barracks Rd Vamc-st. Louis Saint Louis MO 63125-4181 |
| Practice Telephone | 3148946639 |
| Mailing Telephone | 3148946639 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
90-26 | NM | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33077 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1 JEFFERSON BARRACKS RD VAMC-ST.LOUIS |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184686347 | Vincent Joseph Deblaze | Pharmacist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2006-04-04 |
| 1952952905 | Dedra M Echols | Nurse Practitioner | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2019-09-20 |
| 1437714243 | Christina Rae Di Iorio Karageorgiou | Psychologist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2019-05-07 |
| 1871039602 | Brittany Zaring | Dietitian, Registered | 1 Jefferson Barracks Rd, Bldg 1, C3014, Saint Louis, MO 63125-4181 | 2017-01-18 |
| 1467822064 | Sandra Fox | Registered Nurse | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2015-09-25 |
| 1255766598 | Lisa M Akers-smith | Dietitian, Registered | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2013-09-05 |
| 1972945582 | Jennifer Christine King | Psychologist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2013-07-24 |
| 1063771988 | Elizabeth Russell | Pharmacist | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2012-05-12 |
| 1215226964 | Carrie Weatherholt | Dietitian, Registered | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2011-04-04 |
| 1376875047 | David D. Burke | Specialist | 1 Jefferson Barracks Rd, St. Louis Va Medical Center Bldg. 1 #2c1, Saint Louis, MO 63125-4181 | 2010-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| 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 | 63125 |
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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.