DR. LISA ANN DAHLGREN (NPI# 1588722193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588722193 |
| Entity Type | Individual |
| Full Name | DR. LISA ANN DAHLGREN |
| Credential | PH. D. |
| Practice Address |
12400 Olive Blvd Ste 205 Creve Coeur MO 63141-6431 |
| Practice Telephone | 6363946210 |
| Practice Fax Number | 3142752301 |
| Mailing Telephone | 6363946210 |
| Mailing Fax Number | 3142752301 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
01546 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ANTHEM BLUE CROSS BS | 28825 | 01 |
| Street Address |
12400 OLIVE BLVD STE 205 |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721317 | Lisa Schippers | Speech-Language Pathologist | 12400 Olive Blvd, Suite 340, Creve Coeur, MO 63141-5454 | 2016-10-18 |
| 1699153353 | Andrew Zemcuznikov, LLC | Social Worker | 12400 Olive Blvd, Suite 205, Creve Coeur, MO 63141-5454 | 2015-05-14 |
| 1902062383 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 12400 Olive Blvd, Creve Coeur, MO 63141-5454 | 2008-08-05 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770803512 | Kirsten Elizabeth Gilbert | Psychologist | 11709 Old Ballas Rd Ste 205, Creve Coeur, MO 63141-7029 | 2010-06-03 |
| 1215049101 | Rebecca Ehrke | Psychologist | 11457 Olde Cabin Rd, Suite 345, Creve Coeur, MO 63141-7139 | 2006-08-31 |
| 1659301562 | Gafford General Practices, LLC | Psychologist | 1000 Executive Parkway Dr, Suite 120, Creve Coeur, MO 63141-6325 | 2006-07-04 |
| 1457971426 | Connects Center, LLC | Psychologist | 745 Craig Rd Ste 104, Creve Coeur, MO 63141-7122 | 2020-04-20 |
| 1104446194 | Imynd Connects, LLC | Psychologist | 745 Craig Rd Ste 104, Creve Coeur, MO 63141-7122 | 2020-04-20 |
| 1891021879 | Mishell Hashmi | Psychologist | 11457 Olde Cabin Rd, Suite 345, Creve Coeur, MO 63141-7139 | 2009-10-26 |
| 1679808794 | Jon Connorran Williams | Psychologist | 777 Craig Rd, Suite 200, Creve Coeur, MO 63141-7138 | 2009-10-07 |
| 1508951534 | Theresa R Bajt | Psychologist | 777 Craig Rd, Suite 130, Creve Coeur, MO 63141-7138 | 2006-10-04 |
| 1235111501 | Alan J Politte | Psychologist | 1023 Executive Parkway Dr, Suite 8, Creve Coeur, MO 63141-6323 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 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 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on DR. LISA ANN DAHLGREN.
| 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.