MARY FITZGIBBONS (NPI# 1679752562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679752562 |
| Entity Type | Individual |
| Full Name | MARY FITZGIBBONS |
| Credential | PH.D |
| Practice Address |
12125 Woodcrest Executive Dr Saint Louis MO 63141-5001 |
| Practice Telephone | 3142758599 |
| Mailing Telephone | 3142758599 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
00944 | MO | Behavioral Health & Social Service Providers |
| Street Address |
12125 WOODCREST EXECUTIVE DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194779579 | Inpatient Consultants of Missouri Inc | Hospitalist | 12125 Woodcrest Executive Dr, Suite 220, Saint Louis, MO 63141-5001 | 2006-05-20 |
| 1558806422 | Anthony Michael Tramelli | Counselor | 12125 Woodcrest Executive Dr, Suite 110, Saint Louis, MO 63141-5001 | 2016-12-30 |
| 1225400427 | Kathleen Taggart | Social Worker | 12125 Woodcrest Executive Dr, Suite 110, Saint Louis, MO 63141-5001 | 2015-10-27 |
| 1811389661 | Amy Vanessa Maus | Social Worker | 12125 Woodcrest Executive Dr, Saint Louis, MO 63141-5001 | 2015-03-02 |
| 1033531207 | Amy Kelly Neu | Social Worker | 12125 Woodcrest Executive Dr, Suite 110, Saint Louis, MO 63141-5001 | 2014-01-07 |
| 1619304250 | Jennifer Webbe Van Luven | Social Worker | 12125 Woodcrest Executive Dr, Suite 110, Saint Louis, MO 63141-5001 | 2013-09-27 |
| 1184962623 | Murisa Begic-gusic | Psychologist | 12125 Woodcrest Executive Dr, Suite 110, Saint Louis, MO 63141-5001 | 2013-01-17 |
| 1225331002 | Inpatient Consultants of Kansas Pa | Family Medicine | 12125 Woodcrest Executive Dr, 220, Saint Louis, MO 63141-5001 | 2010-12-16 |
| 1861795635 | Inpatient Consultants of Kansas Pa | Family Medicine | 12125 Woodcrest Executive Dr, 220, Saint Louis, MO 63141-5001 | 2010-12-16 |
| 1861792723 | Fitzgibbons Psychological West County Psychological Associates | Psychologist | 12125 Woodcrest Executive Dr, Saint Louis, MO 63141-5001 | 2010-10-26 |
| Find all providers in the same location | ||||
| 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 | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063972081 | Marianela Dornhecker | Psychologist | 3832 Mcdonald Ave, Saint Louis, MO 63116-4717 | 2019-03-25 |
| 1518483825 | Consuelo Maturana | Psychologist | 7505 Pershing Ave Apt 2w, Saint Louis, MO 63130-4024 | 2017-08-17 |
| 1922520394 | Ivorie D Chambers | Psychologist | 10439 Gardo Court, Saint Louis, MO 63137 | 2017-07-07 |
| 1194140756 | Emergence Psychological Services | Psychologist | 1131 Thornwood Dr, Saint Louis, MO 63124-1227 | 2014-02-19 |
| 1952600983 | Chad John Keller | Psychologist | 7700 Clayton Rd Ste 103, Saint Louis, MO 63117-1345 | 2011-03-16 |
| 1356550289 | Indvidualized Therapy & Care, P.C. | Psychologist | 5858 White Pine Dr, Saint Louis, MO 63129-2954 | 2007-05-21 |
| 1942358049 | Sujatha Ramesh | Psychologist | 7750 Clayton Rd Ste 204, Saint Louis, MO 63117-1342 | 2007-01-08 |
| 1417493677 | Pallavi Mishra Nishith | Psychologist | 4130 Lindell Blvd, Saint Louis, MO 63108-2914 | 2017-01-12 |
| 1164971396 | April Reupke | Psychologist | 12837 Flushing Meadows Dr, Saint Louis, MO 63131-1824 | 2016-09-29 |
| 1609322510 | James Malen | Psychologist | 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 | 2016-08-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on MARY FITZGIBBONS.
| 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.