| Greenbrook Tms St Louis, Llc | |
|
11477 Olde Cabin Rd Ste 210 Saint Louis MO 63141-7129 | |
| (855) 950-4867 | |
| Not Available |
| Full Name | Greenbrook Tms St Louis, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11477 Olde Cabin Rd Ste 210, Saint Louis, Missouri |
| Authorized Official Name and Position | Annie Farley (REGIONAL MANAGER) |
| Authorized Official Contact | 3147500966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrook Tms St Louis, Llc 16091 Swingley Ridge Rd Ste 110 Chesterfield MO 63017-2024 Ph: (314) 750-0966 | Greenbrook Tms St Louis, Llc 11477 Olde Cabin Rd Ste 210 Saint Louis MO 63141-7129 Ph: (855) 950-4867 |
| NPI Number | 1144713884 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 4284985417 |
|---|---|
| Medicare Enrollment ID | O20181105000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144713884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Steven Harvey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811007289 PECOS PAC ID: 2163449653 Enrollment ID: I20051024000893 |
| Provider Name | Jyothi Mandava |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891809539 PECOS PAC ID: 4284631672 Enrollment ID: I20061027000015 |
| Provider Name | Arturo C Taca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295846319 PECOS PAC ID: 9739187683 Enrollment ID: I20061201000234 |
| Provider Name | Sanjeev Kamat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649375288 PECOS PAC ID: 4385746767 Enrollment ID: I20070305000203 |
| Provider Name | Radhika Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952485708 PECOS PAC ID: 8921101015 Enrollment ID: I20070309000356 |
| Provider Name | Leticia B Ugarte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306049515 PECOS PAC ID: 8921151044 Enrollment ID: I20090806000298 |
| Provider Name | Robert H Rifkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639289051 PECOS PAC ID: 8628118494 Enrollment ID: I20091230000042 |
| Provider Name | Rachel Morel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568664159 PECOS PAC ID: 7810174174 Enrollment ID: I20110614000422 |
| Provider Name | Daniel A Loiterstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225086671 PECOS PAC ID: 1254304561 Enrollment ID: I20120124000801 |
| Provider Name | Howard J Ilivicky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093711152 PECOS PAC ID: 0648417576 Enrollment ID: I20130513000277 |
| Provider Name | John P Canale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578569620 PECOS PAC ID: 1850527474 Enrollment ID: I20131203001912 |
| Provider Name | Matthew Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770913089 PECOS PAC ID: 4486884129 Enrollment ID: I20140225002284 |
| Provider Name | Abraham Medaris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422480 PECOS PAC ID: 3375769797 Enrollment ID: I20140721001841 |
| Provider Name | Pravesh Prabhu Deotale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710275110 PECOS PAC ID: 2163660283 Enrollment ID: I20160708000233 |
| Provider Name | Faith Ann Caster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407310907 PECOS PAC ID: 2264771336 Enrollment ID: I20190307001016 |
| Provider Name | Kayla Marlene Gervich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538847058 PECOS PAC ID: 0446614317 Enrollment ID: I20230911002286 |
The Relationship Center Of St. Louis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7292 Manchester Rd, Saint Louis, MO 63143 Phone: 314-659-8330 Fax: 314-659-8330 | |
Express Care Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3641 Oakdale Ave, Saint Louis, MO 63121 Phone: 314-727-0453 Fax: 314-727-6067 | |
Traveling Heart Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 W Port Plaza Dr Ste 326, Saint Louis, MO 63146 Phone: 636-328-5212 Fax: 636-333-4510 | |
Brady Sullivan Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3115 S Grand Blvd Ste 300, Saint Louis, MO 63118 Phone: 314-339-7356 | |
Skn Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 Phone: 314-408-2275 | |
Luis A Giuffra Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 S New Ballas Rd, Suite 398a, Saint Louis, MO 63141 Phone: 314-251-7720 Fax: 314-251-7722 | |
Neurotherapeutics, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11040 Manchester Rd, Saint Louis, MO 63122 Phone: 314-909-0776 Fax: 314-909-0887 |