| St. Louis Childrens Hospital | |
|
1 Childrens Pl Saint Louis MO 63110-1002 | |
| (314) 454-6000 | |
| Not Available |
| Full Name | St. Louis Childrens Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Childrens Pl, Saint Louis, Missouri |
| Authorized Official Name and Position | Michele M Mckee (CFO) |
| Authorized Official Contact | 3144546044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Childrens Hospital 1 Childrens Pl Administration, Suite 3s-36 Saint Louis MO 63110-1002 Ph: (314) 454-6044 | St. Louis Childrens Hospital 1 Childrens Pl Saint Louis MO 63110-1002 Ph: (314) 454-6000 |
| NPI Number | 1710909486 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 5294838678 |
|---|---|
| Medicare Enrollment ID | O20070306000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710909486 | NPI | - | NPPES |
| 167 | Other | MISSOURI BLUE CROSS | |
| 936377 | Medicaid | IA | |
| HOS330IN | Medicaid | AL | |
| 103176 | Other | HEALTH LINK | |
| 112148105 | Medicaid | AR | |
| 100693290A | Medicaid | OK | |
| 1440650 | Medicaid | KY | |
| 95348 | Medicaid | MS | |
| 1737518 | Medicaid | LA | |
| 5010193 | Other | UNITED HEALTHCARE | |
| 518802 | Other | AETNA | |
| 901450100 | Medicaid | FL | |
| 10930907 | Medicaid | MO | |
| 17268 | Other | GHP AND CMR |
| Provider Name | Julie Ann Dubois |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174686281 PECOS PAC ID: 4385719608 Enrollment ID: I20080821000415 |
| Provider Name | Heather A Monroe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639333578 PECOS PAC ID: 0345315347 Enrollment ID: I20080826000082 |
| Provider Name | Megan E Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376855601 PECOS PAC ID: 9739332115 Enrollment ID: I20130115000281 |
| Provider Name | Rebecca H Foster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255683256 PECOS PAC ID: 4587817770 Enrollment ID: I20141022000365 |
| Provider Name | Gillian Sloane Mayersohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265917884 PECOS PAC ID: 4183960263 Enrollment ID: I20190110000785 |
| Provider Name | Jacalyn Marie Stimac |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386297752 PECOS PAC ID: 0042547176 Enrollment ID: I20200623002555 |
| Provider Name | Darci Elizabeth Klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568943256 PECOS PAC ID: 6901218080 Enrollment ID: I20201214002501 |
| Provider Name | Christopher Bosworth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013317700 PECOS PAC ID: 2961814975 Enrollment ID: I20201216001585 |
| Provider Name | Rae Alexandra Wilkerson Maixner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679854194 PECOS PAC ID: 3678985389 Enrollment ID: I20201221002118 |
| Provider Name | Kimberly S Sirl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043237928 PECOS PAC ID: 1658783394 Enrollment ID: I20201222000297 |
| Provider Name | Kendra Krietsch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235748773 PECOS PAC ID: 3971916198 Enrollment ID: I20210107002666 |
| Provider Name | Catherine C Hutter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750308722 PECOS PAC ID: 9830503341 Enrollment ID: I20210125001170 |
| Provider Name | Ashley Levan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396190120 PECOS PAC ID: 7416361241 Enrollment ID: I20210205001500 |
| Provider Name | Lisa A Harker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295967024 PECOS PAC ID: 7911312681 Enrollment ID: I20210211001226 |
| Provider Name | Suzanne M Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942220892 PECOS PAC ID: 5597170720 Enrollment ID: I20210219001237 |
| Provider Name | Sarah Girresch-ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861878134 PECOS PAC ID: 9436565025 Enrollment ID: I20210305000689 |
| Provider Name | Janet Elaine Vance |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558521609 PECOS PAC ID: 7810306412 Enrollment ID: I20210512000808 |
| Provider Name | Robin Hudson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598912966 PECOS PAC ID: 3173932779 Enrollment ID: I20210512000868 |
| Provider Name | Sau Yu Cheung |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003289653 PECOS PAC ID: 0345659942 Enrollment ID: I20210512000968 |
| Provider Name | Julia B Webb |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962719070 PECOS PAC ID: 6406043777 Enrollment ID: I20210513000819 |
| Provider Name | Kelly Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982984399 PECOS PAC ID: 1759790116 Enrollment ID: I20210514001458 |
| Provider Name | Lauren Christyne Locke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386168318 PECOS PAC ID: 7416366711 Enrollment ID: I20210517000536 |
| Provider Name | Heather Ann Simmons |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316449432 PECOS PAC ID: 9234548538 Enrollment ID: I20210517000551 |
| Provider Name | Jamie Cadieux |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578711867 PECOS PAC ID: 5890104103 Enrollment ID: I20210517000957 |
| Provider Name | Catherine Rita Pike |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831747120 PECOS PAC ID: 3476951278 Enrollment ID: I20211008000914 |
| Provider Name | Cayley C Allison |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023767027 PECOS PAC ID: 3173919859 Enrollment ID: I20220405002681 |
| Provider Name | Katherine Anne Langford |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790434041 PECOS PAC ID: 2163818808 Enrollment ID: I20220406001872 |
| Provider Name | Elizabeth Marie Weaver |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417684655 PECOS PAC ID: 1153706254 Enrollment ID: I20220909001085 |
| Provider Name | Makayla Marie Dordan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851809966 PECOS PAC ID: 3476938432 Enrollment ID: I20220913000363 |
| Provider Name | Michele Verda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659396505 PECOS PAC ID: 4284734328 Enrollment ID: I20220926002411 |
| Provider Name | Jennifer Allen Lischwe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538606728 PECOS PAC ID: 1557739208 Enrollment ID: I20221130001393 |
| Provider Name | Beatrice Case |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730758525 PECOS PAC ID: 6406259860 Enrollment ID: I20221208000984 |
| Provider Name | Mary Duncan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851886386 PECOS PAC ID: 0042644577 Enrollment ID: I20230313002163 |
| Provider Name | Kathryn Peterman Reindel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801572714 PECOS PAC ID: 0143689760 Enrollment ID: I20230629002866 |
| Provider Name | Emily Marie Ferguson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568140374 PECOS PAC ID: 9436519857 Enrollment ID: I20230718000446 |
| Provider Name | Kelly Minnette Boland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932835618 PECOS PAC ID: 6103271101 Enrollment ID: I20231011002153 |
| Provider Name | Carol Grace Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821676073 PECOS PAC ID: 1658726138 Enrollment ID: I20231018003931 |
| Provider Name | Robyn Shea Herbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194450601 PECOS PAC ID: 0345696548 Enrollment ID: I20231024003468 |
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