Jeffrey B Titus, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2005004512 Issued in MO

Practice address

1 Childrens PL
3S32
Saint Louis, MO 63110-1002

Phone

(314) 454-6069

Fax

(314) 454-4576

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Surgical Subspecialists

  • Pediatric Critical Care Medicine Physician
  • Austin, TX
  • NPI 1184815227
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1013937978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDREN'S",
            "address_2": "ONE CHILDREN'S PLACE, SUITE 3 SOUTH-32",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101077",
            "telephone_number": "314-454-6069",
            "fax_number": "314-454-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "address_2": "3S32",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101002",
            "telephone_number": "314-454-6069",
            "fax_number": "314-454-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MO",
            "license": "2005004512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "199574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiranmaye Tiriveedhi, M.D.
• Nikhil Vaishnav Tirukkovalur, MBBS
• Chelsea Marie Tisckos, AU.D.
• Laura R Tishey, PSY.D.
• Greg Tissi, PLPC
• Brandon Tivis, D.D.S.
• Diane Laure Tiwa Meli, MD
• Priyanka Tiwari, MD
• TJ Pharmacy LLC
• Jinnie Ann Tkach, RN, DNP, CPNP-AC

• Clinical Neuropsychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Neuropsychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.