Alan J Politte, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY01218 Issued in MO

Practice address

1023 Executive Parkway Dr
Suite 8
Creve Coeur, MO 63141-6323

Phone

(314) 878-8855

NPI assigned

Nov 14, 2005

Last updated

Feb 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychologists & Educators, Inc.

  • Psychologist
  • Saint Louis, MO
  • NPI 1497935001
  Medicare reassignment Authorized official
• Barbara C Burton

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1699943068
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1235111501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 8",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416323",
            "telephone_number": "314-878-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 8",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416323",
            "telephone_number": "314-878-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITTE",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY01218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Scott Piper, RPH
• Katlyn Plotzer, AU.D
• Jennifer Rae Banovic Plowman, AU.D.
• Elizabeth Susan Plummer, RD
• Lauren Poeppe, OTR/L
• Craig F Politte, LPC
• Kristi Poore
• Posterity Men's Health, P.C.
• Madison Lynn Potter, LCSW
• Sarah Carroll Poulos, PT

• Clinical Psychologist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.

Verify at the official NPI Registry.