| Family Psychiatry Llc | |
|
10420 Old Olive Street Rd Saint Louis MO 63141-5914 | |
| (314) 991-6688 | |
| (314) 991-6690 |
| Full Name | Family Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10420 Old Olive Street Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Oksana Baram (PRESIDENT) |
| Authorized Official Contact | 3149916688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychiatry Llc 10420 Old Olive Street Rd Saint Louis MO 63141-5914 Ph: (314) 991-6688 | Family Psychiatry Llc 10420 Old Olive Street Rd Saint Louis MO 63141-5914 Ph: (314) 991-6688 |
| NPI Number | 1265956544 |
|---|---|
| Provider Enumeration Date | 07/28/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5496029431 |
|---|---|
| Medicare Enrollment ID | O20171027002527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265956544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 2016032249 (Missouri) | Primary |
| Provider Name | Oksana V Baram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629332259 PECOS PAC ID: 5395048854 Enrollment ID: I20171110002595 |
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