Organization Active NPI

Julie Lafferty MD, LLC

  • Psychiatry Physician
  • Creve Coeur, MO
National Provider Identifier
1174142368
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JULIE LAFFERTY MD, LLC
Practice address
655 Craig Rd Ste 336
Creve Coeur, MO 63141-7171
Phone
(314) 567-5000
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Julie LaffertyNPI 1710097126
Title
Member
Phone
(314) 567-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

655 Craig Rd Ste 336
Creve Coeur, MO 63141-7171

Mailing address

655 Craig Rd Ste 318
Creve Coeur, MO 63141-7171
Phone (314) 567-5000

National Provider Directory

National Provider Directory

Locations

655 Craig Rd
Ste 336
Creve Coeur, MO 63141
Phone (314) 567-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1174142368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CRAIG RD STE 318",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417171",
            "telephone_number": "314-567-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CRAIG RD STE 336",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417171",
            "telephone_number": "314-567-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE LAFFERTY MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "LAFFERTY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-567-5000"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.