DR. AMY D BERTELSON (NPI# 1942226188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942226188 |
| Entity Type | Individual |
| Full Name | DR. AMY D BERTELSON |
| Credential | PHD |
| Practice Address |
1600 S Brentwood Blvd Ste 600 Ste 600 Saint Louis MO 63144-1334 |
| Mailing Address |
660 S Euclid Ave C B 8111 Saint Louis MO 63110-1010 |
| Practice Telephone | 3147473817 |
| Practice Fax Number | 3147473813 |
| Mailing Telephone | 3147473817 |
| Mailing Fax Number | 3147473813 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
00935 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1600 S BRENTWOOD BLVD STE 600 STE 600 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63144-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386633360 | Terri Lynn Riutcel | Psychiatry & Neurology | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2005-10-21 |
| 1902090558 | Luqi Chi | Psychiatry & Neurology | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2007-08-28 |
| 1992914352 | Amy Kathleen Licis | Psychiatry & Neurology | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2007-05-22 |
| 1528280393 | Yo-el Sommerville Ju | Psychiatry & Neurology | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2007-05-02 |
| 1134248891 | Rachel Susanna Darken | Psychiatry & Neurology | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2007-03-27 |
| 1619000965 | Brendan P Lucey | Psychiatry & Neurology | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2007-03-14 |
| 1669531125 | Thomas W Jenkins | Physician Assistant | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1265944466 | Brittany Jacobson | Psychologist | 1 Jefferson Barracks Rd # 116b, Saint Louis, MO 63125-4181 | 2017-10-27 |
| 1801316690 | David Howard Morris | Psychologist | 4921 Parkview Pl # 90-35703, Saint Louis, MO 63110-1032 | 2017-06-22 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1376980326 | Joshua Paul Beaman-kogan | Psychologist | 1 University Blvd # 232, Stadler Hall, Saint Louis, MO 63121-4400 | 2013-05-31 |
| 1104176064 | Brooke Kraushaar,psy.d,llc | Psychologist | 6321 Alamo Ave, Saint Louis, MO 63105-3103 | 2012-09-18 |
| 1326335837 | Jeremiah Weinstock | Psychologist | 3511 Laclede Ave, Shannon Hall, Room 208, Saint Louis, MO 63103-2010 | 2011-07-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63144 |
Please comment or provide details below to improve the information on DR. AMY D BERTELSON.
| 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.