M Seraji MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

M SERAJI MD LLC

Practice address

1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366

Phone

(314) 985-8035

Fax

(314) 985-8034

NPI assigned

Sep 12, 2014

Organization subpart

No

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

Authorized official

Name

Mehrzad Seraji, M.D.NPI 1942539085

Title

M.D.

Phone

(314) 985-8035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Mehrzad Seraji, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1942539085
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Faulkingham, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1285508184
  Medicare reassignment Care Compare group NPD
• Treacy H Williams, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1477184299
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1043611767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-985-8035",
            "fax_number": "314-985-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-985-8035",
            "fax_number": "314-985-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SERAJI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "SERAJI",
        "authorized_official_first_name": "MEHRZAD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "314-985-8035",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• M.a. C. Unlimited, LLC
• M.a.W. Cares, Inc
• M.a.W.Cares-CDS,LLC

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.