Active NPI
Iesha Joseph
- Health Service Psychologist
- Saint Louis, MO
National Provider Identifier
1073045340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Practice address
- 7251 Olive Blvd
Saint Louis, MO 63130-2322 - Phone
- (314) 749-7618
- Fax
- (314) 862-6155
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | MO | Primary |
Addresses
Primary practice location
7251 Olive Blvd
Saint Louis, MO 63130-2322
Mailing address
7251 Olive Blvd
Saint Louis, MO 63130-2322
Phone (314) 749-7618
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1073045340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7251 OLIVE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631302322",
"telephone_number": "314-749-7618",
"fax_number": "314-862-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7251 OLIVE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631302322",
"telephone_number": "314-749-7618",
"fax_number": "314-862-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "IESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.