SHANTIELA HALL (NPI# 1740844844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740844844 |
Entity Type | Individual |
Full Name | SHANTIELA HALL |
Practice Address |
1238 Oxford Hill Ct Apt 9 Saint Louis MO 63146-5721 |
Practice Telephone | 3146804878 |
Mailing Telephone | 3146804878 |
Enumeration Date | 2019-04-24 |
Last Update Date | 2019-04-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
168641 | MO | Behavioral Health & Social Service Providers |
Street Address |
1238 OXFORD HILL CT APT 9 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63146-5721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553118 | Chelsea Ann Garbs | Nurse Practitioner | 1249 Woodland Point Dr Unit E, St. Louis, MO 63146 | 2020-09-17 |
1538790647 | Supreme Quality Care LLC | Home Health | 111 West Port Plaza, Floor 6, Maryland Heights, MO 63146 | 2020-01-28 |
1942854492 | Winning Hands Home Health Care Services LLC | In Home Supportive Care | 12738 Fee Fee Rd, Saint Louis, MO 63146 | 2019-08-01 |
1144883893 | Tylians T Smith | Physical Therapy Assistant | 12544 Fee Fee Rd, Saint Louis, MO 63146 | 2019-04-18 |
1528533049 | Veterans Home Care, LLC | Durable Medical Equipment & Medical Supplies | 11861 Westline Industrial Drive, Suite 750, St. Louis, MO 63146 | 2018-10-11 |
1417433558 | Alexandria Marie Falck | Pharmacist | 577 Mid Rivers Mall Drive, Saint Louis, MO 63146 | 2018-07-12 |
1043702897 | Equal Shares Parenting, LLC | Marriage & Family Therapist | 10313 Corbeil Dr., Unit D, St. Louis, MO 63146 | 2018-06-06 |
1588189930 | Anita Shawke | Physical Therapist | 11960 Westline Industrial Drive, Suite 201, St. Louis, MO 63146 | 2017-08-07 |
1174047005 | Midwest Spine & Injury Centers, Inc. | Chiropractor | 2108 Schuetz Road, Maryland Heights, MO 63146 | 2017-08-02 |
1447700604 | Compassus Op of Missouri LLC | Hospice Care, Community Based | 11872 Westline Industrial Dr Ste 160, Saint Louis, MO 63146 | 2016-10-11 |
Find all providers in zip 63146 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073045340 | Iesha Joseph | Psychologist | 7251 Olive Blvd, Saint Louis, MO 63130-2322 | 2017-03-28 |
1346647906 | Emona Lashelle Ewharekuko | Psychologist | 2162 Cherry Ave, Saint Louis, MO 63121-5625 | 2014-11-25 |
1912567322 | Christopher Poitevien | Psychologist | 1 Childrens Pl Ste 3n-14, Saint Louis, MO 63110-1002 | 2019-06-18 |
1679522353 | Raymond Dalton | Psychologist | 1 Jefferson Barracks Dr, St Louis Va Medical Center, Saint Louis, MO 63125-4181 | 2006-05-09 |
1144285883 | Elizabeth Anne Beck | Psychologist | 915 N Grand Blvd, A516, Saint Louis, MO 63106-1621 | 2006-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972117240 | Sherri Marie Mccray | Psychologist | 4 Florence Hill Ct, Black Jack, MO 63033-7230 | 2020-09-03 |
1164680237 | Rumi Kato Price | Psychologist | Cid Bldg Washington University School of Medicine, Dept of Psychiatry, St Louis, MO 63110 | 2008-05-27 |
1083813869 | Kathleen M. Baggett | Psychologist | 5125 Tracy Ave, Kansas City, MO 64110-2515 | 2007-07-12 |
1790707123 | Paul Lynn Susic | Psychologist | 2451 Executive Dr. Ste. 103, St. Charles, MO 63303 | 2006-07-24 |
1316458441 | Psych Associates LLC | Psychologist | 1358 E Kingsley St Ste E, Springfield, MO 65804 | 2017-10-16 |
1285810432 | New Beginnings Behavioral Health | Psychologist | 729 W Center Cir, Suite 103, Nixa, MO 65714-7001 | 2008-01-18 |
1639353915 | Psychological Consultants PC | Psychologist | 6405 N Cosby Ave, Suite 203, Kansas City, MO 64151-2378 | 2007-12-22 |
1841324753 | Alice G Vlietstra | Psychologist | 12131 Dorsett Rd, Suite 220, Maryland Heights, MO 63043-2418 | 2007-03-15 |
1346205630 | Jerry Parker | Psychologist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2006-04-19 |
City | SAINT LOUIS |
Zip Code | 63146 |
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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.