Active NPI
Margaret Wetherford Rissman, PH.D.
- Psychologist
- Saint Louis, MO
National Provider Identifier
1073659165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00928
- Practice address
- 2025 S Brentwood Blvd Ste 206
Saint Louis, MO 63144-1851 - Phone
- (314) 962-0008
- Fax
- (314) 963-8950
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00928 | MO | Primary |
Addresses
Primary practice location
2025 S Brentwood Blvd Ste 206
Saint Louis, MO 63144-1851
Mailing address
2025 S Brentwood Blvd Ste 206
Saint Louis, MO 63144-1851
Phone (314) 962-0008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109458 | Other | MO | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00928 | MO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learning Consultants, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Saint Louis, MO
- NPI 1508984477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073659165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 S BRENTWOOD BLVD STE 206",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631441851",
"telephone_number": "314-962-0008",
"fax_number": "314-963-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 S BRENTWOOD BLVD STE 206",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631441851",
"telephone_number": "314-962-0008",
"fax_number": "314-963-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISSMAN",
"first_name": "MARGARET",
"middle_name": "WETHERFORD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "00928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "109458",
"state": "MO"
}
],
"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 Jul 8, 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.