|
| |
|
1505 S Big Bend Blvd Richmond Heights MO 63117-2205 | |
| (314) 599-7718 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1505 S Big Bend Blvd, Richmond Heights, Missouri |
| Authorized Official Name and Position | Tracy Carole Inman (OWNER) |
| Authorized Official Contact | 3145997718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1505 S Big Bend Blvd Richmond Heights MO 63117-2205 Ph: (314) 384-1006 | 1505 S Big Bend Blvd Richmond Heights MO 63117-2205 Ph: (314) 599-7718 |
| NPI Number | 1013634328 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 12/14/2022 |
| Certification Date | 12/14/2022 |
| Medicare PECOS PAC ID | 0143699959 |
|---|---|
| Medicare Enrollment ID | O20221216000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013634328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Saaid Khojasteh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639283187 PECOS PAC ID: 7214982537 Enrollment ID: I20090206000076 |
| Provider Name | Heather R Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609894633 PECOS PAC ID: 3678575438 Enrollment ID: I20120301000677 |
| Provider Name | Jonathan Musco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245420116 PECOS PAC ID: 7012229511 Enrollment ID: I20150710001649 |
| Provider Name | Kaleigh Marie Weems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710605241 PECOS PAC ID: 8022489871 Enrollment ID: I20230113002226 |
Cherese M. Alcorn, M.s.w., L.c.s.w., Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7750 Clayton Rd Ste 312, Richmond Heights, MO 63117 Phone: 314-556-0009 Fax: 314-492-0095 | |
Unlocking Potential Within, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Oakland Ave Ste 105, Richmond Heights, MO 63117 Phone: 314-391-5465 Fax: 314-227-9327 | |
Kristin Bulin Trauma Anxiety Specialist, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Oakland Ave Ste 201, Richmond Heights, MO 63117 Phone: 314-626-4412 | |
Integrative Mind Institute, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7750 Clayton Rd Ste 303, Richmond Heights, MO 63117 Phone: 314-489-4810 | |
Calm Mind Cbt, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1034 S Brentwood Blvd Ste 555, Richmond Heights, MO 63117 Phone: 314-669-4295 |