| Northwest Psychiatric Associates, Ltd | |
|
9979 Winghaven Blvd Ste 204 O Fallon MO 63368-3628 | |
| (636) 695-4554 | |
| Not Available |
| Full Name | Northwest Psychiatric Associates, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9979 Winghaven Blvd Ste 204, O Fallon, Missouri |
| Authorized Official Name and Position | Scott Johann Arbaugh (PRESIDENT) |
| Authorized Official Contact | 6366954554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Psychiatric Associates, Ltd 9979 Winghaven Blvd Ste 204 O Fallon MO 63368-3628 Ph: (636) 695-4554 | Northwest Psychiatric Associates, Ltd 9979 Winghaven Blvd Ste 204 O Fallon MO 63368-3628 Ph: (636) 695-4554 |
| NPI Number | 1962563429 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/19/2025 |
| Medicare PECOS PAC ID | 8628025715 |
|---|---|
| Medicare Enrollment ID | O20071128000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962563429 | NPI | - | NPPES |
| 215820 | Other | IL | MEDICARE IL NWPA |
| 000011932 | Other | MO | MEDICARE MO NWPA |
| 211318 | Other | IL | MEDICARE SCOTT ARBAUGH MD INDIVIDUAL ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Scott J Arbaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861553513 PECOS PAC ID: 0547217622 Enrollment ID: I20050405000663 |
| Provider Name | Kelsey Lynne Kingsborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851942619 PECOS PAC ID: 6709219546 Enrollment ID: I20210412001944 |
| Provider Name | Victoria Lynn Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013993 PECOS PAC ID: 5193132256 Enrollment ID: I20240729003227 |
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