Individual provider Active NPI

Ian L Pearson, MD

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1225490881
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2019019615 Issued in MO
Practice address
4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone
(636) 224-1700
Fax
(314) 535-5917
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2019019615 MO Primary

Addresses

Primary practice location

4066 Dunnica Ave
Saint Louis, MO 63116-3510

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000

Other practice location 1

1570 S Main St
Saint Charles, MO 63303-4149
Phone (636) 224-1000

Other practice location 2

1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1202

Other practice location 3

800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7735

Other practice location 4

101 Adams St
Jefferson City, MO 65101-3058
Phone (573) 556-6589

Other practice location 5

11701 W Florissant Ave
Florissant, MO 63033-6744
Phone (314) 972-8132

Other practice location 6

7020 Chippewa St
Saint Louis, MO 63119-5602
Phone (314) 772-2205

Other practice location 7

1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500

Other practice location 8

17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975

Other practice location 9

500 Clark Ave
Union, MO 63084-1004
Phone (636) 584-8724

Other practice location 10

4928 Delmar Blvd
Saint Louis, MO 63108-1615
Phone (314) 899-0846

Other practice location 11

1795 W Main St
Sedalia, MO 65301-3634
Phone (660) 285-9270

Other practice location 12

1125 E Cherry St
Troy, MO 63379-1520
Phone (636) 224-1500

Other practice location 13

10024 Office Center Ave Ste 100
Saint Louis, MO 63128-1392
Phone (314) 729-7050

Other practice location 14

605 E Booneslick Rd
Warrenton, MO 63383-2100
Phone (636) 224-1500

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016001417 MO Practitioner - PsychiatryPractitioner - Neurology 1658665211 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Rush Medical College of Rush University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (314) 361-1630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019019615MOMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Mar 22, 2021 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince May 25, 2023 Accepting new patients
Burrell, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Burrell, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Psychological & Behavioral Consultants, LLC Psychiatry CurrentSince Nov 30, 2020 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Mar 22, 2021 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince May 25, 2023 Accepting new patients

Locations

17611 E US Highway 24
#H
Independence, MO 64056
Phone (816) 836-6350

17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000

900 E Laharpe St
Kirksville, MO 63501

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

1300 E Bradford Pkwy
#H
Springfield, MO 65804

800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700

Interoperability endpoints

  • Direct secure messaging: ipearson993515@direct.carenet.org
  • Direct secure messaging: ian.pearson.p1@direct.pfh.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1225490881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 DUNNICA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163510",
            "telephone_number": "636-224-1700",
            "fax_number": "314-535-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 S Main St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633034149",
            "country_code": "US",
            "telephone_number": "636-224-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Old South River Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633034120",
            "country_code": "US",
            "telephone_number": "636-224-1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658024855",
            "country_code": "US",
            "telephone_number": "417-893-7735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Adams St",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651013058",
            "country_code": "US",
            "telephone_number": "573-556-6589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11701 W Florissant Ave",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336744",
            "country_code": "US",
            "telephone_number": "314-972-8132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7020 Chippewa St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631195602",
            "country_code": "US",
            "telephone_number": "314-772-2205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016425",
            "country_code": "US",
            "telephone_number": "573-777-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17421 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571805",
            "country_code": "US",
            "telephone_number": "816-455-9975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Clark Ave",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MO",
            "postal_code": "630841004",
            "country_code": "US",
            "telephone_number": "636-584-8724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4928 Delmar Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631081615",
            "country_code": "US",
            "telephone_number": "314-899-0846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1795 W Main St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653013634",
            "country_code": "US",
            "telephone_number": "660-285-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791520",
            "country_code": "US",
            "telephone_number": "636-224-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10024 Office Center Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631281392",
            "country_code": "US",
            "telephone_number": "314-729-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 E Booneslick Rd",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "MO",
            "postal_code": "633832100",
            "country_code": "US",
            "telephone_number": "636-224-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "IAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "2019019615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Childrens Pl",
            "address_2": "Dept Psychiatry",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.