Diverse Ventures, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2006006565 Issued in MO

Legal business name

DIVERSE VENTURES, LLC

Practice address

69 Bellerive Acres
Saint Louis, MO 63121-4330

Phone

(314) 389-5007

Fax

(314) 389-6023

NPI assigned

Jul 21, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jameca Falconer, PHD

Title

Clinical Psychologist/Owner

Phone

(314) 495-2600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jameca Woody Cooper, PHD

  • Clinical Psychologist
  • Clayton, MO
  • NPI 1942242227
  NPD
• Emily Deutsch Morgan, MSW, LCSW

  • Clinical Social Worker
  • Chesterfield, MO
  • NPI 1851640361
  NPD (past)
• Kathleen Collins Seibert, MA/LCSW

  • Clinical Social Worker
  • Belleville, IL
  • NPI 1821348228
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225058001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BELLERIVE ACRES",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214330",
            "telephone_number": "314-389-5007",
            "fax_number": "314-389-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BELLERIVE ACRES",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214330",
            "telephone_number": "314-389-5007",
            "fax_number": "314-389-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FALCONER",
        "authorized_official_first_name": "JAMECA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "314-495-2600",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006006565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divan Chiropractic and Sports Rehabilitation
• Nicholas Divan, D.C.
• Taraneh Maryam Divanbeigi, FNP-C
• Chirag Divecha, MD
• Diverse Health Services LLC
• Diversified Home Care LLC
• Diversified Support Services, LLC
• Divide & Conquer Services, LLC.
• Divine Care Transit LLC
• Divine Healthcare Services LLC

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.