| 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 | Melanie M Vandyke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497819890 PECOS PAC ID: 1951209758 Enrollment ID: I20040219000298 |
| Provider Name | Laura M Huff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013248749 PECOS PAC ID: 6002711561 Enrollment ID: I20041221000810 |
| Provider Name | Lisa Parker Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275573065 PECOS PAC ID: 8224078076 Enrollment ID: I20050511000272 |
| Provider Name | Anita M Bazile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801959713 PECOS PAC ID: 6709804974 Enrollment ID: I20051107000032 |
| 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 | William J Mallot |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114090263 PECOS PAC ID: 1850393422 Enrollment ID: I20070212000004 |
| 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 | Angela C Randazzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356535934 PECOS PAC ID: 1456448810 Enrollment ID: I20081110000654 |
| Provider Name | Dawn M Prentice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952547630 PECOS PAC ID: 1951464007 Enrollment ID: I20090115000286 |
| 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 | Randall C Flanery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760533129 PECOS PAC ID: 6103973912 Enrollment ID: I20090414000509 |
| Provider Name | Sara L Timmerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871735837 PECOS PAC ID: 9133278930 Enrollment ID: I20090528000080 |
| Provider Name | Juankee J Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679786032 PECOS PAC ID: 5799821658 Enrollment ID: I20091006000600 |
| Provider Name | Alan Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871665034 PECOS PAC ID: 0749316982 Enrollment ID: I20100327000041 |
| Provider Name | Patrice M Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366470809 PECOS PAC ID: 7719017789 Enrollment ID: I20100617000825 |
| Provider Name | Rebekah A Freese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427049394 PECOS PAC ID: 5092907170 Enrollment ID: I20101007000596 |
| Provider Name | Melanie A Mckean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881867240 PECOS PAC ID: 9032387758 Enrollment ID: I20110725000674 |
| 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 | 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 | Amy K Kurz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992073910 PECOS PAC ID: 5193940310 Enrollment ID: I20140702000727 |
| Provider Name | Bronwen C Diantonio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558422709 PECOS PAC ID: 5698993301 Enrollment ID: I20140821001344 |
| Provider Name | Camille J Randall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992114417 PECOS PAC ID: 8325267065 Enrollment ID: I20140911001771 |
| Provider Name | Kelly A Bushur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629248406 PECOS PAC ID: 3577746197 Enrollment ID: I20141001000447 |
| Provider Name | Laurel B Brundage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558359307 PECOS PAC ID: 1153325808 Enrollment ID: I20150702000280 |
| Provider Name | Sindhura N Saini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598062267 PECOS PAC ID: 1254645195 Enrollment ID: I20150805007742 |
| 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 | Kristin B Bulin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093269938 PECOS PAC ID: 4082900840 Enrollment ID: I20160906001164 |
| Provider Name | Kerrie M Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487093092 PECOS PAC ID: 8123315876 Enrollment ID: I20160922002169 |
| Provider Name | Bonnie L Applewhite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073742706 PECOS PAC ID: 3072892843 Enrollment ID: I20161118000292 |
| 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 | Marc Ao Gunderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194067561 PECOS PAC ID: 2769709252 Enrollment ID: I20170614001253 |
| 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 | Samuel Louis Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215421581 PECOS PAC ID: 8921355520 Enrollment ID: I20180726002879 |
| Provider Name | Kaylie T Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841667029 PECOS PAC ID: 5092063321 Enrollment ID: I20180802003217 |
| 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 | Abigail Christine Giancola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192029 PECOS PAC ID: 2365784733 Enrollment ID: I20190506000208 |
| Provider Name | Andrew N Orayfig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578018016 PECOS PAC ID: 0840549960 Enrollment ID: I20190627001828 |
| 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 | 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 | Leslee R Kassing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427184738 PECOS PAC ID: 6204258403 Enrollment ID: I20200616003465 |
| Provider Name | Alice M Andres-wade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689938557 PECOS PAC ID: 1557788387 Enrollment ID: I20200825002893 |
| Provider Name | Margaret Mc Lemp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881947588 PECOS PAC ID: 1951699586 Enrollment ID: I20200911000640 |
| Provider Name | Tamara A Hoyt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831235720 PECOS PAC ID: 2668669300 Enrollment ID: I20201023001936 |
| Provider Name | Carolyn Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134746712 PECOS PAC ID: 4486067824 Enrollment ID: I20210104001889 |
| Provider Name | Jessica L Epperson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033545850 PECOS PAC ID: 6800022518 Enrollment ID: I20210111001759 |
| Provider Name | Jessica L Polson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295103216 PECOS PAC ID: 7012318272 Enrollment ID: I20210624002813 |
| Provider Name | John P Wunderlich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568958239 PECOS PAC ID: 6507267770 Enrollment ID: I20210624003102 |
| Provider Name | Tingying Chi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306367644 PECOS PAC ID: 9830425719 Enrollment ID: I20210803000443 |
| Provider Name | Timothy A Sisemore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821074832 PECOS PAC ID: 2062599129 Enrollment ID: I20210930001935 |
| 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 | Kayla A Zebrowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215694369 PECOS PAC ID: 9537536446 Enrollment ID: I20221107001615 |
| 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 | Kierstin E Godier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174172225 PECOS PAC ID: 2769854132 Enrollment ID: I20230213000284 |
| 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 | Dorothy L Fahy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770248767 PECOS PAC ID: 5890160519 Enrollment ID: I20230412000581 |
| 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 | 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 |
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 | |
Brady Sullivan Consulting, Llc 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 | |
Neurotherapeutics, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11040 Manchester Rd, Saint Louis, MO 63122 Phone: 314-909-0776 Fax: 314-909-0887 |