SPARROW PSYCHOLOGICAL SERVICES, LLC (NPI# 1831274943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831274943 |
| Entity Type | Organization |
| Organization Name | SPARROW PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
777 Craig Rd Suite 100 Saint Louis MO 63141-7138 |
| Practice Telephone | 3149911033 |
| Practice Fax Number | 3143952432 |
| Mailing Telephone | 3149911033 |
| Mailing Fax Number | 3143952432 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | DR. ROBIN SUSAN PARK (MANAGING MEMBER) |
| Authorized Official Telephone | 3149911033 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
LC0731335 | MO | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LC0731335 | MO | Ambulatory Health Care Facilities |
| Street Address |
777 CRAIG RD SUITE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330015 | Kevin Miller | Psychiatry & Neurology | 777 Craig Rd, Suite 120, Saint Louis, MO 63141-7138 | 2005-07-14 |
| 1023408499 | Linda Hurt | Nurse Practitioner | 777 Craig Rd, Suite 115, Saint Louis, MO 63141-7138 | 2015-01-23 |
| 1295132835 | Carlos E Himpler | Durable Medical Equipment & Medical Supplies | 777 Craig Rd, Suite 230, Saint Louis, MO 63141-7138 | 2014-11-25 |
| 1659774776 | Elite Mens Health of St Louis | Nurse Practitioner | 777 Craig Rd, 225, Saint Louis, MO 63141-7138 | 2014-10-02 |
| 1629304902 | Ideal Special Services LLC | In Home Supportive Care | 777 Craig Rd, Suite 240, Saint Louis, MO 63141-7138 | 2009-10-21 |
| 1629218862 | Stefani Poelker, Msw, Lcsw, LLC | Community/Behavioral Health | 777 Craig Rd, Suite 230, Saint Louis, MO 63141-7138 | 2009-02-28 |
| 1649392796 | Matthew Stewart Wilson | Psychiatry & Neurology | 777 Craig Rd, Suite 200, Saint Louis, MO 63141-7138 | 2007-04-06 |
| 1023138369 | Midwest Pulmonary and Critical Care Consultants Inc | Internal Medicine | 777 Craig Rd, Suite 115, Saint Louis, MO 63141-7138 | 2007-03-30 |
| 1548305105 | Harold D. Wolff, Inc | Psychiatry & Neurology | 777 Craig Rd, Suite 135, Saint Louis, MO 63141-7138 | 2007-02-21 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760839260 | Independence Center | Clinic/Center | 4245 Forest Park Ave, Saint Louis, MO 63108-2810 | 2016-05-16 |
| 1780069161 | Iqbal Psychiatry | Clinic/Center | 1015 Grupp Rd Unit 31035, Saint Louis, MO 63131-5002 | 2015-07-27 |
| 1346569324 | Golden Years Adult Day Health Care LLC | Clinic/Center | 12257 Bellefontaine Rd, Saint Louis, MO 63138-1447 | 2010-05-31 |
| 1629303565 | Lindell Psychiatric Associates, Inc | Clinic/Center | 265 Union Blvd, Suite 1120, Saint Louis, MO 63108-1200 | 2009-10-09 |
| 1942270863 | Bilingual International Assistant Services | Clinic/Center | 1329 Macklind Ave Ste 200, Saint Louis, MO 63110-1400 | 2006-01-24 |
| 1326693904 | Jesus Ligot Md LLC | Clinic/Center | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2019-08-09 |
| 1790346542 | Art Maines, Lcsw LLC | Clinic/Center | 1121 Olivette Executive Pkwy Ste 210, Saint Louis, MO 63132-3254 | 2019-06-24 |
| 1427529965 | James Rw Linsin Psyd LLC | Clinic/Center | 777 S New Ballas Rd Ste 129w, Saint Louis, MO 63141-8745 | 2018-12-10 |
| 1942719885 | Cathy Luebbering Msw Lcsw LLC | Clinic/Center | 2601 Sutton Blvd, Saint Louis, MO 63143-2117 | 2017-09-22 |
| 1629427042 | Queen of Peace Center | Clinic/Center | 325 N Newstead Ave, Saint Louis, MO 63108-2707 | 2016-06-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.