Active NPI
Richard Ian Stein, PHD
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1043992977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2021015453
- Practice address
- 1044 N Mason Rd
Div Im Geriatric Med, Ste 330
Saint Louis, MO 63141-6431 - Phone
- (314) 286-2080
- Fax
- (314) 286-2085
- NPI assigned
- Aug 1, 2023
- Last updated
- Apr 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2021015453 | MO | Primary |
Addresses
Primary practice location
1044 N Mason Rd
Div Im Geriatric Med, Ste 330
Saint Louis, MO 63141-6431
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 286-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490137890 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Networks
- IA HMO C-SNP
- IA HMO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1043992977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-286-2080",
"fax_number": "314-286-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 N MASON RD",
"address_2": "DIV IM GERIATRIC MED, STE 330",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416431",
"telephone_number": "314-286-2080",
"fax_number": "314-286-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "RICHARD",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-01",
"last_updated": "2025-04-17",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2021015453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490137890",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1044 N Mason Rd",
"address_2": "Div IM Geriatric Med, Ste 330",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.