MRS. JACINDA BERGER (NPI# 1699206615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699206615 |
| Entity Type | Individual |
| Full Name | MRS. JACINDA BERGER |
| Credential | PMHNP |
| Practice Address |
1 Barnes Jewish Hospital Plz Ste 15340 Ste 15340 West Pavillion Saint Louis MO 63110-1003 |
| Mailing Address |
660 S Euclid Ave C B 8134 Saint Louis MO 63110-1010 |
| Practice Telephone | 3142861700 |
| Practice Fax Number | 3142861799 |
| Mailing Telephone | 3142861700 |
| Mailing Fax Number | 3143627017 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2011004020 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1699206615 | 05 | |
| IL | ENROLLED | 05 |
| Street Address |
1 BARNES JEWISH HOSPITAL PLZ STE 15340 STE 15340 WEST PAVILLION |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619941846 | Eric J Lenze | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2006-02-15 |
| 1336589480 | Ludwig Trillo Alvarez | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2013-07-02 |
| 1114231925 | Brendan Joseph O'connor | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2010-08-04 |
| 1689995847 | Emily Hazel Mukherji | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2010-06-22 |
| 1558517029 | Marcie Epstein Garland | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2008-08-14 |
| 1316139116 | Donald David Bohnenkamp | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2007-08-15 |
| 1508919028 | Fay Yeh Womer | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2007-01-19 |
| 1366508145 | Lucia Del Pilar Cristancho Pimiento | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2006-12-28 |
| 1922025485 | Thomas F Richardson | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2006-07-17 |
| 1801814223 | Michael R Jarvis | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz Ste 15340, Ste 15340 West Pavillion, Saint Louis, MO 63110-1003 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1619433125 | Kacey Alexandra Patterson | Nurse Practitioner | 4219 Laclede Ave Ste B, Saint Louis, MO 63108-2814 | 2019-02-20 |
| 1245708239 | Anne Leslie Thatcher | Nurse Practitioner | 915 N Grand Blvd Ofc C123, Saint Louis, MO 63106-1621 | 2018-11-07 |
| 1194271163 | Amanda Maria Kearney | Nurse Practitioner | 555 N New Ballas Rd Ste 220, Saint Louis, MO 63141 | 2016-08-30 |
| 1033722061 | Ashley Maull | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-28 |
| 1992315857 | Corey Weicht | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-05 |
| 1063021905 | Alexandria Colleen Grodie | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-27 |
| 1841810025 | Innovative Mental Health Services | Nurse Practitioner | 12747 Olive Blvd Ste 300, Saint Louis, MO 63141-6269 | 2020-04-17 |
| 1386284990 | Virginia Cozon Lanzotti | Nurse Practitioner | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2020-01-11 |
| 1700423076 | Faisal Matar | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-12-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on MRS. JACINDA BERGER.
| 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.