Active NPI
Ian L Pearson, MD
- Child & Adolescent Psychiatry Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 2019019615
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rush Medical College of Rush University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019019615 | MO | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| Preferred Family Healthcare, Inc | Current | Accepting new patients | |
| Burrell, Inc. | Current | Accepting new patients | |
| Burrell, Inc. | Current | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Psychiatry | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current | Accepting new patients | |
| Preferred Family Healthcare, Inc. | Current | 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
- ipearson993515@direct.carenet.org
- 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.
-
- Community/Behavioral Health Agency
- Kirksville, MO
- NPI 1649474206
-
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1275541740
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1003856592
-
- Community/Retail Pharmacy
- Springfield, MO
- NPI 1194190066
-
- Federally Qualified Health Center (FQHC)
- Hannibal, MO
- NPI 1306721709
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.