| Mercy Clinic Adult Psychiatry, Llc | |
|
1400 Us Highway 61 Suite H1341 Festus MO 63028-4100 | |
| (636) 543-2230 | |
| (636) 543-2232 |
| Full Name | Mercy Clinic Adult Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1400 Us Highway 61, Festus, Missouri |
| Authorized Official Name and Position | John H. Hubert (PRESIDENT- MERCY CLINIC EAST COMM) |
| Authorized Official Contact | 3142511560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Adult Psychiatry, Llc 1400 Us Highway 61 Suite H1341 Festus MO 63028-4100 Ph: (636) 543-2230 | Mercy Clinic Adult Psychiatry, Llc 1400 Us Highway 61 Suite H1341 Festus MO 63028-4100 Ph: (636) 543-2230 |
| NPI Number | 1750788972 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/03/2014 |
| Medicare PECOS PAC ID | 4688998602 |
|---|---|
| Medicare Enrollment ID | O20150122002258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750788972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jay L Liss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679584494 PECOS PAC ID: 7416947502 Enrollment ID: I20040512000890 |
| Provider Name | Mary P Esswein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598871709 PECOS PAC ID: 6901900646 Enrollment ID: I20070405000094 |
| Provider Name | Laura K Manula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205843075 PECOS PAC ID: 5294836326 Enrollment ID: I20070719000497 |
| Provider Name | Nicola L Wissler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700152691 PECOS PAC ID: 0143476325 Enrollment ID: I20120802000597 |
| Provider Name | Thomas Horn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516598 PECOS PAC ID: 2264695501 Enrollment ID: I20140722002256 |
| Provider Name | Kimberly R Brandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497066740 PECOS PAC ID: 6901032374 Enrollment ID: I20140804001217 |
| Provider Name | Cara Melinda Schagemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588088470 PECOS PAC ID: 9537462965 Enrollment ID: I20160119002328 |
| Provider Name | Erica Chick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649790007 PECOS PAC ID: 9830460807 Enrollment ID: I20170809002495 |
| Provider Name | Erum Qazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043625932 PECOS PAC ID: 3577865021 Enrollment ID: I20180814004092 |
| Provider Name | Michael P Cooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386059277 PECOS PAC ID: 9638471113 Enrollment ID: I20180928000856 |
| Provider Name | Erica L Buchalter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770999575 PECOS PAC ID: 6901027911 Enrollment ID: I20190109001878 |
| Provider Name | Sunil Gangwani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902004203 PECOS PAC ID: 5294905519 Enrollment ID: I20200122000883 |
| Provider Name | Kurt D Larose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023221967 PECOS PAC ID: 8325180540 Enrollment ID: I20200819003267 |
| Provider Name | Binu Chakkamparambil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144603556 PECOS PAC ID: 7618279183 Enrollment ID: I20200909002390 |
| Provider Name | Alexandria Grodie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063021905 PECOS PAC ID: 3274952353 Enrollment ID: I20200924000166 |
| Provider Name | Ashley Maull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033722061 PECOS PAC ID: 8527488378 Enrollment ID: I20201015001675 |
| Provider Name | Agnieszka Milczarek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295175677 PECOS PAC ID: 0648409383 Enrollment ID: I20210119000203 |
| Provider Name | Britni E Hulser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598273120 PECOS PAC ID: 7315207487 Enrollment ID: I20210402000422 |
| Provider Name | Jacob David Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376995167 PECOS PAC ID: 0749688398 Enrollment ID: I20211012001627 |
| Provider Name | Rachel Barnholtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568116820 PECOS PAC ID: 6103219365 Enrollment ID: I20220210001401 |
| Provider Name | Carrie Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467757013 PECOS PAC ID: 2365836715 Enrollment ID: I20220228002284 |
| Provider Name | Courtney Leane Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558921296 PECOS PAC ID: 6406240662 Enrollment ID: I20220303002523 |
| Provider Name | Sara M Noennig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730590787 PECOS PAC ID: 7315161684 Enrollment ID: I20220331000202 |
| Provider Name | Miranda Nicole Sander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265198246 PECOS PAC ID: 8527454115 Enrollment ID: I20220407001382 |
| Provider Name | Jean Loemker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568768901 PECOS PAC ID: 6709264054 Enrollment ID: I20220527002060 |
| Provider Name | Mellisa Dawn Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619673894 PECOS PAC ID: 7012381072 Enrollment ID: I20230315001098 |
| Provider Name | Suzzanne Faye Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790483170 PECOS PAC ID: 1456725423 Enrollment ID: I20230315001594 |
Risse Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Main St, Suite 2100, Festus, MO 63028 Phone: 636-933-4870 | |
Advanced Psychiatric Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 807 Collins Dr, Festus, MO 63028 Phone: 636-931-4206 Fax: 636-931-5774 | |
Aba Center For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 Ymca Dr, Festus, MO 63028 Phone: 573-535-8315 Fax: 314-200-2167 | |
Neuromar Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Industrial Dr., Festus, MO 63028 Phone: 636-931-6090 Fax: 636-933-9509 | |
Moving Mountains Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N Truman Blvd, Ste 1, Festus, MO 63028 Phone: 636-933-4104 Fax: 636-933-4049 | |
Family Options Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 Scenic Dr # B, Festus, MO 63028 Phone: 636-937-6229 Fax: 636-717-0015 | |
Comtrea, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 E Main St, Festus, MO 63028 Phone: 636-931-2700 Fax: 636-931-2139 |