| Dr Ardekanis Stress Clinic, Pc | |
|
Suite 310a 10004 Kennerly Rd St Louis MO 63128-5117 | |
| (314) 843-3310 | |
| (314) 843-8825 |
| Full Name | Dr Ardekanis Stress Clinic, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | Suite 310a, St Louis, Missouri |
| Authorized Official Name and Position | Ahmad Beheshti Ardekani (PRESIDENT) |
| Authorized Official Contact | 3148433310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ardekanis Stress Clinic, Pc 10004 Kennerly Rd Suite 310a Saint Louis MO 63128-2141 Ph: (314) 843-3310 | Dr Ardekanis Stress Clinic, Pc Suite 310a 10004 Kennerly Rd St Louis MO 63128-5117 Ph: (314) 843-3310 |
| NPI Number | 1205052727 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 4880775881 |
|---|---|
| Medicare Enrollment ID | O20080116000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205052727 | NPI | - | NPPES |
| 181942 | Other | ALLIANCE BCBS | |
| 260004802498769 | Other | TRICARE NORTH REGION | |
| 504612003 | Medicaid | MO | |
| 260004802 | Other | RR MEDICARE PART B | |
| 12031 | Other | CIGNA GENERAL MOTORS | |
| 31744 | Other | CMR CARE MANAGEMENT RESOU | |
| 9534 | Other | BCBS OF MISSOURI | |
| 015927000 | Other | MAGELLAN BEHAVIORAL HEALT | |
| 101010 | Other | HEALTHLINK | |
| 129999 | Other | VALUE OPTIONS | |
| A10513 | Other | MERCY HEALTH PLAN | |
| 31744 | Other | GROUP HEALTH PLAN | |
| 1542794 | Other | UNITED BEHAVIORAL HEALTH | |
| 198301 | Other | VALUE BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35941 (Missouri) | Primary |
| Provider Name | Ahmad Ardekani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588794689 PECOS PAC ID: 9931208907 Enrollment ID: I20070618000037 |
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