SUSAN W BLAIN (NPI# 1831112861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831112861 |
| Entity Type | Individual |
| Full Name | SUSAN W BLAIN |
| Credential | PSY D |
| Practice Address |
6651 Chippewa Ste 223 St Louis MO 63109-2531 |
| Practice Telephone | 3146442395 |
| Practice Fax Number | 3146445917 |
| Mailing Telephone | 3146442395 |
| Mailing Fax Number | 3146445917 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MARCY HMO | S21684 | 01 | |
| BLUE CROSS HARMONY | 6156413 | 01 | |
| BLUE CROSS | 3894 | 01 |
| Street Address |
6651 CHIPPEWA STE 223 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63109-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387516 | Wallace P Berkowitz Md Ltd | Otolaryngology | 6651 Chippewa, Ste 324, St Louis, MO 63109-2538 | 2005-12-15 |
| 1396865499 | Narendir T Soorya Inc | Psychiatry & Neurology | 6651 Chippewa, St Louis, MO 63109-2538 | 2007-03-30 |
| 1083782171 | Joseph Peter Vitale | Chiropractor | 6651 Chippewa, Suite 311, St Louis, MO 63109 | 2006-11-30 |
| 1518033174 | Kevin Martin Walsh | Dentist | 6651 Chippewa, Suite 221, St Louis, MO 63109-2531 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701762 | Krownapple Kare, PC | Psychologist | 3400 South Jefferson, St Louis, MO 63118-3120 | 2017-06-29 |
| 1689946436 | Catherine Elizabeth Tinker Morrison | Psychologist | 1129 Macklind Avenue, St Louis, MO 63110-1440 | 2012-02-08 |
| 1508076217 | Denton Jay Stewart | Psychologist | 121 Hunter Avenue, Suite 201, St Louis, MO 63124-2083 | 2007-05-23 |
| 1831307974 | Debra Katherine Shatoff | Psychologist | 77 West Port Plaza Dr, Suite 360, St Louis, MO 63146 | 2007-05-21 |
| 1871707182 | Gerald Tullman | Psychologist | 77 West Port Plaza, Suite 360, St Louis, MO 63146 | 2007-05-09 |
| 1942349063 | Agnes Marie Meyo | Psychologist | 711 Old Ballas Rd #212, St Louis, MO 63141 | 2007-02-05 |
| 1700931938 | Comprehensive Psychological Services PC | Psychologist | 7711 Bonhomme Ave, 800, St Louis, MO 63105 | 2007-01-25 |
| 1467522334 | Denton J Stewart Inc | Psychologist | 121 Hunter Avenue Suite 201, St Louis, MO 63124-2083 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894427 | Shraddha Niphadkar | Psychologist | 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 | 2020-09-01 |
| 1750994547 | Ashley Brauer | Psychologist | 231 W Lockwood Ave Ste 202, Saint Louis, MO 63119-2951 | 2020-08-31 |
| 1316559594 | Core Therapy & Diagnostics, LLC | Psychologist | 186 S Payne Stewart Dr Ste 151, Branson, MO 65616-2792 | 2020-08-19 |
| 1538770284 | Meigs Psychological Services LLC | Psychologist | 529 Newport Ave, Saint Louis, MO 63119-2517 | 2020-08-14 |
| 1235748773 | Kendra Krietsch | Psychologist | 1 Childrens Pl # 3n-14, Saint Louis, MO 63110-1002 | 2020-07-30 |
| 1427674001 | Laura Ellen Glover-orr | Psychologist | 5719 Delor St, Saint Louis, MO 63109-2831 | 2020-06-19 |
| 1154941359 | Kimberly Hinman | Psychologist | 17 W 66th St, Kansas City, MO 64113-1825 | 2020-04-17 |
| 1376069674 | Petra Jo Mcguire | Psychologist | 2104 S Garrison Ave, Carthage, MO 64836-3614 | 2017-08-17 |
| 1902338304 | James Feinberg | Psychologist | 10900 Manchester Rd Ste 201, Kirkwood, MO 63122-1200 | 2017-04-03 |
| 1205282571 | Lindsay Oram | Psychologist | 616 Nw Highway 146, Trenton, MO 64683-7501 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
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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.