FITZGIBBONS PSYCHOLOGICAL WEST COUNTY PSYCHOLOGICAL ASSOCIATES


Address: 12125 Woodcrest Executive Dr, Saint Louis, MO 63141-5001
Phone: 3142758599

FITZGIBBONS PSYCHOLOGICAL WEST COUNTY PSYCHOLOGICAL ASSOCIATES (NPI# 1861792723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861792723
Entity Type Organization
Organization Name FITZGIBBONS PSYCHOLOGICAL WEST COUNTY PSYCHOLOGICAL ASSOCIATES
Practice Address 12125 Woodcrest Executive Dr
Saint Louis
MO 63141-5001
Practice Telephone 3142758599
Mailing Telephone 3142758599
Enumeration Date 2010-10-26
Last Update Date 2015-04-14
Authorized Official Name MRS. MARY FITZGIBBONS (DIRECTOR)
Authorized Official Telephone 3142758599
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 00944 MO Behavioral Health & Social Service Providers

Office Location

Street Address 12125 WOODCREST EXECUTIVE DR
City SAINT LOUIS
State MO
Zip Code 63141-5001

Providers in the same location

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
1043468556 Susan Marie Fagan Counselor 12125 Woodcrest Executive Dr, Suite 110, Saint Louis, MO 63141-5001 2008-09-09
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750994547 Ashley Brauer Psychologist 231 W Lockwood Ave Ste 202, Saint Louis, MO 63119-2951 2020-08-31
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
1356714893 Michelle Lynn Jochim Black Psychologist 3800 Park Ave, Saint Louis, MO 63110-2514 2015-11-05
1407267537 Therese Verkerke Cash Psychologist 6201 Murdoch Ave, Saint Louis, MO 63109-2747 2014-05-12
1205100054 Mark F Heiland, Phd, Licensed Psychologist, LLC Psychologist 4542 W Pine Blvd, Saint Louis, MO 63108-2186 2012-02-25
1952684995 Paul H Wang M Div Ph D & Associates P C Psychologist 225 S Meramec Ave Ste 213, Saint Louis, MO 63105-3511 2011-09-26
1679854194 Rae Alexandra Wilkerson Maixner Psychologist 1 Childrens Pl Ste 3n-14, Saint Louis, MO 63110-1002 2011-08-30
1679885677 Christian Psychological & Family Services Psychologist 9378 Olive Blvd Ste 106, Saint Louis, MO 63132-3222 2010-07-07
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City SAINT LOUIS
Zip Code 63141

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Dataset Information

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.

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