Organization Active NPI

Joe Behrmann MD Psychiatry & Psychotherapy LLC

  • Psychiatry Physician
  • St. Louis, MO
National Provider Identifier
1013188572
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2004008629 Issued in MO
Legal business name
JOE BEHRMANN MD PSYCHIATRY & PSYCHOTHERAPY LLC
Practice address
1034 S. Brentwood Blvd.
Suite 516
St. Louis, MO 63117
Phone
(314) 479-4106
Fax
(314) 453-3477
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe D. Behrmann, M.D.NPI 1962414227
Title
Owner
Phone
(314) 479-4106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 2004008629 MO Primary
Preferred Provider Organization 305R00000X 2004008629 MO

Addresses

Primary practice location

1034 S. Brentwood Blvd.
Suite 516
St. Louis, MO 63117

Mailing address

1034 S. Brentwood Blvd.
Suite 516
St. Louis, MO 63117
Phone (314) 230-4490

Other identifiers 3

IdentifierTypeStateIssuer
209302900MedicaidMO
192398OtherMOBLUE CROSS BLUE SHEILD
209302918MedicaidMO

National Provider Directory

National Provider Directory

Locations

10420 Old Olive Street Rd
Ste 202
Saint Louis, MO 63141
Phone (314) 481-7030

889 S Brentwood Blvd
Ste LL102
Saint Louis, MO 63105
Phone (314) 725-0380

8420 Delmar Blvd
Ste 301
Saint Louis, MO 63124
Phone (314) 872-8898

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1013188572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S. BRENTWOOD BLVD.",
            "address_2": "SUITE 516",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-230-4490",
            "fax_number": "314-453-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S. BRENTWOOD BLVD.",
            "address_2": "SUITE 516",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-479-4106",
            "fax_number": "314-453-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE BEHRMANN MD PSYCHIATRY & PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "BEHRMANN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-479-4106",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2004008629",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "2004008629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209302900",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "192398",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209302918",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.