| St. Louis Behavioral Medicine Institute Inc | |
|
1129 Macklind Ave Saint Louis MO 63110-1440 | |
| (314) 534-0200 | |
| Not Available |
| Full Name | St. Louis Behavioral Medicine Institute Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1129 Macklind Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Steve Filton (SR VP CFO) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Behavioral Medicine Institute Inc 1129 Macklind Ave Saint Louis MO 63110-1440 Ph: (314) 534-0200 | St. Louis Behavioral Medicine Institute Inc 1129 Macklind Ave Saint Louis MO 63110-1440 Ph: (314) 534-0200 |
| NPI Number | 1487732335 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 05/13/2015 |
| Medicare PECOS PAC ID | 3173428638 |
|---|---|
| Medicare Enrollment ID | O20031223000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487732335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2006006594 (Missouri) | Primary |
| Provider Name | Sofia Grewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265441299 PECOS PAC ID: 2860490760 Enrollment ID: I20061130000359 |
| Provider Name | Christopher S Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629176706 PECOS PAC ID: 4385644335 Enrollment ID: I20061222000141 |
| Provider Name | Cathy L Lander-goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255482600 PECOS PAC ID: 1456449503 Enrollment ID: I20071127000013 |
| Provider Name | Elizabeth R Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194949768 PECOS PAC ID: 7517044621 Enrollment ID: I20080414000127 |
| Provider Name | Paul Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275618217 PECOS PAC ID: 4789731019 Enrollment ID: I20090402000399 |
| Provider Name | Charles a Pollard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578627980 PECOS PAC ID: 0143377200 Enrollment ID: I20090408000073 |
| Provider Name | Ann G Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972666808 PECOS PAC ID: 3274680335 Enrollment ID: I20090408000120 |
| Provider Name | Kent E Newcome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184787095 PECOS PAC ID: 5890842694 Enrollment ID: I20090414000446 |
| Provider Name | Gary Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568513919 PECOS PAC ID: 2961559760 Enrollment ID: I20090414000473 |
| Provider Name | Juankee J Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679786032 PECOS PAC ID: 5799821658 Enrollment ID: I20091006000600 |
| Provider Name | Shahid M Kaous |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881893881 PECOS PAC ID: 7719071620 Enrollment ID: I20091030000368 |
| Provider Name | Patrice M Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366470809 PECOS PAC ID: 7719017789 Enrollment ID: I20100617000825 |
| Provider Name | Victoria B Ayden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134302086 PECOS PAC ID: 7214108281 Enrollment ID: I20110922000794 |
| Provider Name | Malinda Dale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629050570 PECOS PAC ID: 0345416483 Enrollment ID: I20120618000691 |
| Provider Name | Cara J Capuano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174967251 PECOS PAC ID: 2466698956 Enrollment ID: I20130430000157 |
| Provider Name | Dorothy E Toran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548394844 PECOS PAC ID: 7012158827 Enrollment ID: I20130719000743 |
| Provider Name | Marcia L Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104994706 PECOS PAC ID: 7719026863 Enrollment ID: I20140213001313 |
| Provider Name | Bronwen C Diantonio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558422709 PECOS PAC ID: 5698993301 Enrollment ID: I20140821001344 |
| Provider Name | Kelly a Bushur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629248406 PECOS PAC ID: 3577746197 Enrollment ID: I20141001000447 |
| Provider Name | Andrea R Knoll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437407418 PECOS PAC ID: 4284926064 Enrollment ID: I20160714002486 |
| Provider Name | Michael R Knobeloch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619396736 PECOS PAC ID: 2567771827 Enrollment ID: I20160726002594 |
| Provider Name | Deborah K Elliott Desorbo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255442612 PECOS PAC ID: 6204976202 Enrollment ID: I20170221000901 |
| Provider Name | Mishell N Hashmi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891021879 PECOS PAC ID: 1355478637 Enrollment ID: I20180110000116 |
| Provider Name | Alison Menatti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992213326 PECOS PAC ID: 3375802036 Enrollment ID: I20180125002749 |
| Provider Name | Claudia M Charles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588785968 PECOS PAC ID: 1456614387 Enrollment ID: I20180406000524 |
| Provider Name | Madalyn R Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164902201 PECOS PAC ID: 7113277211 Enrollment ID: I20180911003467 |
| Provider Name | Ryan J Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346625860 PECOS PAC ID: 5395010870 Enrollment ID: I20190305003012 |
| Provider Name | Linda M Housman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043435290 PECOS PAC ID: 4486995347 Enrollment ID: I20190403001395 |
| Provider Name | Kristen D Beatty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598325086 PECOS PAC ID: 4789919408 Enrollment ID: I20190717001137 |
| Provider Name | Elizabeth Patricia Mccadden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851943328 PECOS PAC ID: 3779819131 Enrollment ID: I20190724000652 |
| Provider Name | Margarita M Nogin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366911000 PECOS PAC ID: 8729322300 Enrollment ID: I20191204000466 |
| Provider Name | Christina Lawton Fales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598224529 PECOS PAC ID: 0345678926 Enrollment ID: I20200313000223 |
| Provider Name | Margaret MC Lemp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881947588 PECOS PAC ID: 1951699586 Enrollment ID: I20200911000640 |
| Provider Name | Celia R Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235748765 PECOS PAC ID: 7911327671 Enrollment ID: I20201019000767 |
| Provider Name | Elizabeth H Elsberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568921872 PECOS PAC ID: 3375943731 Enrollment ID: I20210607003206 |
| Provider Name | Jessica L Polson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295103216 PECOS PAC ID: 7012318272 Enrollment ID: I20210624002813 |
| Provider Name | Tingying CHI |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306367644 PECOS PAC ID: 9830425719 Enrollment ID: I20210803000443 |
| Provider Name | Rachel a Barnholtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568116820 PECOS PAC ID: 6103219365 Enrollment ID: I20220210001401 |
| Provider Name | Mallory J Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013584200 PECOS PAC ID: 2860886264 Enrollment ID: I20220301001392 |
| Provider Name | Lauren L Raczkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326778077 PECOS PAC ID: 6103297320 Enrollment ID: I20230126002662 |
| Provider Name | Tracy L Tew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609064898 PECOS PAC ID: 8820460298 Enrollment ID: I20230213000024 |
| Provider Name | Skylar J Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093368805 PECOS PAC ID: 3173995479 Enrollment ID: I20230215001007 |
| Provider Name | Michael F Knoll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710581269 PECOS PAC ID: 9739538422 Enrollment ID: I20231206002595 |
| Provider Name | Jennifer L Henry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972208536 PECOS PAC ID: 1658714928 Enrollment ID: I20240205000783 |
| Provider Name | Shannon R Fischer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578144010 PECOS PAC ID: 6204279482 Enrollment ID: I20240205001609 |
| Provider Name | Gina C Roggow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518497445 PECOS PAC ID: 3375986557 Enrollment ID: I20240205001660 |
| Provider Name | Michele L Vining |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417407081 PECOS PAC ID: 3274976469 Enrollment ID: I20240205001734 |
| Provider Name | Laura L Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992749022 PECOS PAC ID: 6608219894 Enrollment ID: I20240205001866 |
| Provider Name | Eileen M Vollmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649940404 PECOS PAC ID: 9234572421 Enrollment ID: I20240205001876 |
| Provider Name | Gregory a Peebles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821411067 PECOS PAC ID: 2769825959 Enrollment ID: I20240205002003 |
| Provider Name | Lisa Dierdorf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568047769 PECOS PAC ID: 2567805773 Enrollment ID: I20240205002439 |
| Provider Name | Leslie E Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952387094 PECOS PAC ID: 1759724966 Enrollment ID: I20240205002716 |
| Provider Name | Susanne D Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043711005 PECOS PAC ID: 1456794684 Enrollment ID: I20240205003142 |
| Provider Name | Linda K Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619113461 PECOS PAC ID: 9133562382 Enrollment ID: I20240205003743 |
| Provider Name | Elim Faye Allee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760039093 PECOS PAC ID: 1153767769 Enrollment ID: I20240306000320 |
| Provider Name | Samantha N Marre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558026732 PECOS PAC ID: 1355787458 Enrollment ID: I20240312001438 |
| Provider Name | Collins M Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891459269 PECOS PAC ID: 4981040094 Enrollment ID: I20240312001884 |
| Provider Name | Jessica L Burich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003268152 PECOS PAC ID: 7012451883 Enrollment ID: I20240703002262 |
| Provider Name | Ashley Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912482373 PECOS PAC ID: 1052843851 Enrollment ID: I20241017003657 |
| Provider Name | Acacia N Douglas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588204051 PECOS PAC ID: 6305379504 Enrollment ID: I20241026000042 |
| Provider Name | Sydney K Greenwalt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578305223 PECOS PAC ID: 8123551330 Enrollment ID: I20241026000046 |
| Provider Name | Torri a Taylor-spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376261743 PECOS PAC ID: 3072978030 Enrollment ID: I20241105000163 |
| Provider Name | Taylor C Bass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912620733 PECOS PAC ID: 0648707901 Enrollment ID: I20241226002903 |
| Provider Name | Allison N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821805011 PECOS PAC ID: 5597287532 Enrollment ID: I20250319000822 |
| Provider Name | Yoshiko Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003272659 PECOS PAC ID: 4789108903 Enrollment ID: I20250409002845 |
| Provider Name | Bryan R Salminen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194284067 PECOS PAC ID: 1951833367 Enrollment ID: I20250421000798 |
| Provider Name | Denise B Brennan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154646941 PECOS PAC ID: 3779001656 Enrollment ID: I20250514002733 |
| Provider Name | Christy R Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235215278 PECOS PAC ID: 8325550379 Enrollment ID: I20250625000979 |
| Provider Name | Elizabeth E Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073156113 PECOS PAC ID: 6002322823 Enrollment ID: I20250718003666 |
| Provider Name | Rachel C Hines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891570255 PECOS PAC ID: 8426555277 Enrollment ID: I20251008001061 |
| Provider Name | Sophie E Haven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801615745 PECOS PAC ID: 8729578638 Enrollment ID: I20251108000053 |
| Provider Name | Sara I Agha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912585829 PECOS PAC ID: 1052713922 Enrollment ID: I20251110000584 |
| Provider Name | Calli M Wiatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477334068 PECOS PAC ID: 1557853959 Enrollment ID: I20251124001014 |
| Provider Name | Rachel Freitag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497444541 PECOS PAC ID: 3476030354 Enrollment ID: I20260122001192 |
| Provider Name | Sherry L Spann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710727706 PECOS PAC ID: 5092292979 Enrollment ID: I20260122001290 |
| Provider Name | Thomas E Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215806567 PECOS PAC ID: 3375020266 Enrollment ID: I20260122001586 |
| Provider Name | Mikeya L Nicholson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598636755 PECOS PAC ID: 9335622158 Enrollment ID: I20260310004247 |
| Provider Name | Natalie a Seminario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033631692 PECOS PAC ID: 2466700653 Enrollment ID: I20260326001046 |
| Provider Name | Mari J Chimitris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396603981 PECOS PAC ID: 6305321381 Enrollment ID: I20260327001571 |
| Provider Name | Leah E Strickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538025663 PECOS PAC ID: 6800371303 Enrollment ID: I20260402001268 |
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 |
Plumeria Stl, Counseling and Consulting Services 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 |