| Long Term Psychiatric Management | |
|
1400 Lemay Ferry Rd Saint Louis MO 63125-2408 | |
| (314) 776-7999 | |
| (314) 772-2257 |
| Full Name | Long Term Psychiatric Management |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1400 Lemay Ferry Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Junaid Syed (PRESIDENT) |
| Authorized Official Contact | 3147767999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Term Psychiatric Management Po Box 4252 Chesterfield MO 63006-4252 Ph: (314) 776-7999 | Long Term Psychiatric Management 1400 Lemay Ferry Rd Saint Louis MO 63125-2408 Ph: (314) 776-7999 |
| NPI Number | 1063632826 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 05/11/2021 |
| Certification Date | 05/11/2021 |
| Medicare PECOS PAC ID | 5597662080 |
|---|---|
| Medicare Enrollment ID | O20040910000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063632826 | NPI | - | NPPES |
| 508620200 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Eileen Ai-ling Wu-evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881741825 PECOS PAC ID: 2668360827 Enrollment ID: I20040309000535 |
| Provider Name | Laishang P Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235143942 PECOS PAC ID: 7719974682 Enrollment ID: I20040430000804 |
| Provider Name | James Fleming |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386614949 PECOS PAC ID: 1658369087 Enrollment ID: I20040504001494 |
| Provider Name | Sridevi Gavirneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366545543 PECOS PAC ID: 8628026697 Enrollment ID: I20050106000156 |
| Provider Name | Naina Patil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427169390 PECOS PAC ID: 8820021785 Enrollment ID: I20050913000205 |
| Provider Name | Sherifa F Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740399724 PECOS PAC ID: 9830198951 Enrollment ID: I20061218000477 |
| Provider Name | Kulsoom F Junaid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497827968 PECOS PAC ID: 0042318834 Enrollment ID: I20070601000106 |
| Provider Name | Susan J Akins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790767721 PECOS PAC ID: 1456451616 Enrollment ID: I20070717000559 |
| Provider Name | Emily Jane Garrett-pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952503690 PECOS PAC ID: 1254426836 Enrollment ID: I20070927000679 |
| Provider Name | Junaid M Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942381579 PECOS PAC ID: 1951496330 Enrollment ID: I20090818000534 |
| Provider Name | Jeffery Scott Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639402738 PECOS PAC ID: 2961540281 Enrollment ID: I20091106000321 |
| Provider Name | Ricky Mofsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306921812 PECOS PAC ID: 6002959442 Enrollment ID: I20100206000233 |
| Provider Name | Cynthia Renee Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881908986 PECOS PAC ID: 9234254830 Enrollment ID: I20100920001018 |
| Provider Name | Allison N Brauch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972792968 PECOS PAC ID: 7113194598 Enrollment ID: I20120126000051 |
| Provider Name | Kalu Onuma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447415518 PECOS PAC ID: 4183888761 Enrollment ID: I20120611000620 |
| Provider Name | Rameshlal M Rawlani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578574885 PECOS PAC ID: 6002060373 Enrollment ID: I20130214000279 |
| Provider Name | Susanna Alice Haarhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720359664 PECOS PAC ID: 8426203621 Enrollment ID: I20140317002116 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881987071 PECOS PAC ID: 6507085875 Enrollment ID: I20140918001227 |
| Provider Name | Shawn Michael Gao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740424704 PECOS PAC ID: 6901025055 Enrollment ID: I20140922002747 |
| Provider Name | Kelly M Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376929760 PECOS PAC ID: 6204142425 Enrollment ID: I20150903000198 |
| Provider Name | Mudasir Asif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265797898 PECOS PAC ID: 1658673025 Enrollment ID: I20160527001428 |
| Provider Name | Phylicia Grossich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053782276 PECOS PAC ID: 0941598197 Enrollment ID: I20161004001729 |
| Provider Name | Jenna M Collins Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346482494 PECOS PAC ID: 0547319592 Enrollment ID: I20161011002498 |
| Provider Name | Tiffany L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225565948 PECOS PAC ID: 2961777024 Enrollment ID: I20170929001116 |
| Provider Name | Monique Manderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619360070 PECOS PAC ID: 5890015994 Enrollment ID: I20171122000316 |
| Provider Name | Syed Noman Zaidi |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1932549250 PECOS PAC ID: 8527360957 Enrollment ID: I20180609000152 |
| Provider Name | Cassidy Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871097642 PECOS PAC ID: 9335495936 Enrollment ID: I20180712001583 |
| Provider Name | Debra Seiffert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366950925 PECOS PAC ID: 0244589083 Enrollment ID: I20180828000574 |
| Provider Name | Joseph Adam Reighard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295938934 PECOS PAC ID: 6204174147 Enrollment ID: I20190219001068 |
| Provider Name | Miles Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760948574 PECOS PAC ID: 5698001923 Enrollment ID: I20190724003501 |
| Provider Name | Carol D Blacksher |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1245249382 PECOS PAC ID: 2365497393 Enrollment ID: I20190823001149 |
| Provider Name | Tamara Joan Runge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104483379 PECOS PAC ID: 2264760578 Enrollment ID: I20190824000759 |
| Provider Name | Whitney Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780966127 PECOS PAC ID: 4981936382 Enrollment ID: I20191105001229 |
| Provider Name | Teide B Ehimare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982804704 PECOS PAC ID: 4789014382 Enrollment ID: I20200422003117 |
| Provider Name | Syed Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801089289 PECOS PAC ID: 1153479605 Enrollment ID: I20200610000704 |
| Provider Name | Oladayo Simeon Farodoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346738135 PECOS PAC ID: 8628323375 Enrollment ID: I20200910000827 |
| Provider Name | Aaron M Mofsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851773774 PECOS PAC ID: 4981918174 Enrollment ID: I20201105002384 |
| Provider Name | Rebecca Merchiori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588068464 PECOS PAC ID: 1254655020 Enrollment ID: I20210308000495 |
| Provider Name | Jessica Booker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619574936 PECOS PAC ID: 5597173922 Enrollment ID: I20210422002783 |
| Provider Name | Aldijana Sacic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740807825 PECOS PAC ID: 6709285950 Enrollment ID: I20210520002346 |
| Provider Name | Sherry Fields Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780306928 PECOS PAC ID: 3173909538 Enrollment ID: I20221007002679 |
| Provider Name | Lindsey Michelle Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568171601 PECOS PAC ID: 8325411358 Enrollment ID: I20230222001729 |
| Provider Name | Leighia Mcghee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720750367 PECOS PAC ID: 7911396080 Enrollment ID: I20230630000453 |
| Provider Name | Jessica Dawn Weseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871270009 PECOS PAC ID: 6709249956 Enrollment ID: I20230906000377 |
| Provider Name | Angie Catlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679051486 PECOS PAC ID: 2860737764 Enrollment ID: I20230911002115 |
| Provider Name | Catherine Nailaen Mepukori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003514563 PECOS PAC ID: 1355798125 Enrollment ID: I20231116000167 |
| Provider Name | Kalanit Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144008004 PECOS PAC ID: 8224489224 Enrollment ID: I20240103003738 |
| Provider Name | Jacob Michael Wilmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902671639 PECOS PAC ID: 0446693329 Enrollment ID: I20240207003059 |
| Provider Name | Elma Sahbaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184499774 PECOS PAC ID: 4587007232 Enrollment ID: I20240209000202 |
| Provider Name | Alyxandrea Marie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932784105 PECOS PAC ID: 6305283318 Enrollment ID: I20240326004189 |
| Provider Name | Patricia A Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003285032 PECOS PAC ID: 1153630389 Enrollment ID: I20240531002122 |
| Provider Name | Farrukh Hashmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467497222 PECOS PAC ID: 8123070810 Enrollment ID: I20240612002672 |
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