| Kathryn Schormann Llc | |
|
485 Wildwood Pkwy Ste 3 Ballwin MO 63011-2667 | |
| (314) 252-8220 | |
| Not Available |
| Full Name | Kathryn Schormann Llc |
|---|---|
| Speciality | Counselor |
| Location | 485 Wildwood Pkwy Ste 3, Ballwin, Missouri |
| Authorized Official Name and Position | Kathryn Schormann (OWNER) |
| Authorized Official Contact | 3146023967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Schormann Llc 485 Wildwood Pkwy Ste 3 Ballwin MO 63011-2667 Ph: () - | Kathryn Schormann Llc 485 Wildwood Pkwy Ste 3 Ballwin MO 63011-2667 Ph: (314) 252-8220 |
| NPI Number | 1871181768 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 01/06/2021 |
| Certification Date | 01/06/2021 |
| Medicare PECOS PAC ID | 8022493592 |
|---|---|
| Medicare Enrollment ID | O20220920000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871181768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Vadim Y Baram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124007380 PECOS PAC ID: 3577518299 Enrollment ID: I20050316000023 |
| Provider Name | Zhanna Bershteyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386075653 PECOS PAC ID: 9638308000 Enrollment ID: I20140205000205 |
| Provider Name | Britney Kneibert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205599545 PECOS PAC ID: 5193110583 Enrollment ID: I20220322001443 |
| Provider Name | Kathryn Ann Musano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659845733 PECOS PAC ID: 1557717956 Enrollment ID: I20231020001507 |
| Provider Name | Kathryn Jane Schormann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578177499 PECOS PAC ID: 0840687588 Enrollment ID: I20231227002505 |
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