Active NPI
Mykael Elisa Ornbaun, MSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1073910667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4236 Lindell Blvd
Suite 200
Saint Louis, MO 63108-2948 - Phone
- (314) 531-1155
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- 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 Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4236 Lindell Blvd
Suite 200
Saint Louis, MO 63108-2948
Mailing address
4236 Lindell Blvd
Suite 200
Saint Louis, MO 63108-2948
Phone (314) 531-1155
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Center for Family Development, LLC | 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.
-
- Community/Behavioral Health Agency
- Saint Louis, MO
- NPI 1841430790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1073910667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4236 LINDELL BLVD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082948",
"telephone_number": "314-531-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4236 LINDELL BLVD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082948",
"telephone_number": "314-531-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORNBAUN",
"first_name": "MYKAEL",
"middle_name": "ELISA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"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 Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.