DR. JANINE B. BRODEUR (NPI# 1396867073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396867073 |
| Entity Type | Individual |
| Full Name | DR. JANINE B. BRODEUR |
| Other Name | JANINE MARIE BAUMAN |
| Credential | PHD |
| Practice Address |
7396 Pershing Ave Saint Louis MO 63130-4206 |
| Mailing Address |
417 Mission Court St Louis MO 63130-4018 |
| Practice Telephone | 3143339474 |
| Mailing Telephone | 3147263487 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1999140465 | MO | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | 065986 | MO | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 S Meramec Ave, Suite 321t, Saint Louis, MO 631053511 | 3145917769 |
| Street Address |
7396 PERSHING AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63130-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780697458 | Donna C. Hull | Social Worker | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2006-08-14 |
| 1235322710 | Alice L Aslin | Psychologist | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2007-08-20 |
| 1922206663 | Kathleen Anne Williams | Social Worker | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2007-07-03 |
| 1811191562 | Cynthia Patrice Stein | Social Worker | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2007-06-14 |
| 1386850949 | Claire H Birge | Social Worker | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2007-05-14 |
| 1134345374 | Peg A, Mcmullen | Psychologist | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2007-04-17 |
| 1548313562 | Jerry Breakstone | Social Worker | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2007-01-21 |
| 1437201647 | Linda Weiner | Social Worker | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2007-01-17 |
| 1790874915 | Dorothy S Beaman | Social Worker | 7396 Pershing Ave, Saint Louis, MO 63130-4206 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
| 1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
| 1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
| 1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
| 1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
| 1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
| 1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
| 1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
| Find all providers in zip 63130 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 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 |
| 1104176064 | Brooke Kraushaar,psy.d,llc | Psychologist | 6321 Alamo Ave, Saint Louis, MO 63105-3103 | 2012-09-18 |
| 1326335837 | Jeremiah Weinstock | Psychologist | 3511 Laclede Ave, Shannon Hall, Room 208, Saint Louis, MO 63103-2010 | 2011-07-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63130 |
Please comment or provide details below to improve the information on DR. JANINE B. BRODEUR.
| 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.