JOEL O BRENDE (NPI# 1912109760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912109760 |
| Entity Type | Individual |
| Full Name | JOEL O BRENDE |
| Credential | MD |
| Practice Address |
5325 Faraon St. St. Joseph MO 64506-3488 |
| Practice Telephone | 8162717273 |
| Practice Fax Number | 8162717376 |
| Mailing Telephone | 8162717273 |
| Mailing Fax Number | 8162717376 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2017-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2007008846 | MO | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
299002 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
29002 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 053184 | 05 |
| Street Address |
5325 FARAON ST. |
| City | ST. JOSEPH |
| State | MO |
| Zip Code | 64506-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366478133 | Tamara L. Mcguire | Nurse Practitioner | 5325 Faraon St., St. Joseph, MO 64506-3488 | 2006-06-24 |
| 1801295258 | Karan Mohan | Internal Medicine | 5325 Faraon St., St. Joseph, MO 64506-3488 | 2014-08-21 |
| 1750659777 | Casey Rae Wagner | Nurse Practitioner | 5325 Faraon St., St. Joseph, MO 64506-3488 | 2011-12-05 |
| 1669770244 | Casey R. Parman | Registered Nurse | 5325 Faraon St., St. Joseph, MO 64506-3488 | 2011-03-07 |
| 1568760361 | Rachelle D. Motsinger | Nurse Practitioner | 5325 Faraon St., St. Joseph, MO 64506-3488 | 2011-03-03 |
| 1295933125 | Kenneth Pacana Boc | Internal Medicine | 5325 Faraon St., St. Joseph, MO 64506-3488 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528004744 | Matthew L Davis | Psychiatry & Neurology | 2500 Niles Road, Suite #7, St. Joseph, MI 49085 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142368 | Julie Lafferty Md, LLC | Psychiatry & Neurology | 655 Craig Rd Ste 336, Creve Coeur, MO 63141-7171 | 2020-04-08 |
| 1831738574 | Gina Rivera Sokolich | Psychiatry & Neurology | 930 Kehrs Mill Rd Ste 325-13, Ballwin, MO 63011-2403 | 2019-12-28 |
| 1750939864 | Brave, LLC | Psychiatry & Neurology | 2100 Forum Blvd Ste C-2, Columbia, MO 65203-5436 | 2019-09-01 |
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1073171344 | Himangshu Rathinakumar | Psychiatry & Neurology | University of Missouri 1 Hospital Drive Dco67.00, Columbia, MO 65212-0001 | 2019-06-03 |
| 1285194613 | Mind Matters LLC | Psychiatry & Neurology | 3201 S Providence Rd Ste 202, Columbia, MO 65203-3622 | 2019-03-21 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1093209124 | Restorative Brain Clinic, Inc | Psychiatry & Neurology | 1010 Carondelet Dr Ste 112, Kansas City, MO 64114-4821 | 2018-06-21 |
| 1790277374 | Taiye Oluyomi Popoola | Psychiatry & Neurology | 1 Hospital Dr # 67.00, Columbia, MO 65212-1000 | 2018-05-31 |
| 1548709603 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 19203 Hazel Dell Rd, Higginsville, MO 64037-9162 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | ST. JOSEPH |
| Zip Code | 64506 |
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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.