| Mental Health Specialists | |
|
2639 Miami Street St Louis MO 63118 | |
| (314) 268-6195 | |
| (314) 268-6155 |
| Full Name | Mental Health Specialists |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2639 Miami Street, St Louis, Missouri |
| Authorized Official Name and Position | Surendra Chaganti (PRESIDENT) |
| Authorized Official Contact | 3142838291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Specialists 713 The Hamptons Lane Town And Country MO 63017 Ph: (314) 276-8893 | Mental Health Specialists 2639 Miami Street St Louis MO 63118 Ph: (314) 268-6195 |
| NPI Number | 1366565103 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8729029954 |
|---|---|
| Medicare Enrollment ID | O20050518000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366565103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Surendra Chaganti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932213725 PECOS PAC ID: 6608969878 Enrollment ID: I20110203001046 |
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