Mercy Clinic Child and Adolescent Psychiatry, LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC

Practice address

615 S New Ballas Rd
Edgewood Center
Saint Louis, MO 63141-8221

Phone

(314) 251-6898

NPI assigned

Mar 7, 2007

Last updated

Apr 28, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY CLINIC EAST COMMUNITIESAs reported in NPPES

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

Authorized official

Name

Kerry Dunger

Title

Executive Director - Finance

Phone

(314) 364-3707

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Part of

Unity Medical Group Wes

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Clinic East Communities

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1043574940

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mercy Clinic East Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Ballwin, MO
  • NPI 1700370061
  NPPES parent name

Practitioners 24

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.

• Yuval Asner

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
  • NPI 1407099658
  Medicare reassignment Care Compare group NPD
• Karen A. Jacobi, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Saint Louis, MO
  • NPI 1497816284
  Medicare reassignment Care Compare group NPD
• Lelia K. Lindhorst, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1962470021
  Medicare reassignment Care Compare group NPD
• Scott A Trail, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1437110798
  Medicare reassignment Care Compare group
• Michael R. Banton, M.D.

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
  • NPI 1619984523
  Medicare reassignment NPD
• Pravesh P Deotale, M.D

  • Child & Adolescent Psychiatry Physician
  • Festus, MO
  • NPI 1710275110
  Medicare reassignment NPD
• Thomas Horn Jr., D.O.

  • Psychiatry Physician
  • Chesterfield, MO
  • NPI 1841516598
  Medicare reassignment NPD
• Carrie Lewis

  • Clinical Psychologist
  • Saint Charles, MO
  • NPI 1467757013
  Medicare reassignment NPD
• Danielle McElroy, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1700545498
  Medicare reassignment NPD
• Kristina Radoulova, M.D.

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
  • NPI 1720287089
  Medicare reassignment NPD
• Anson Varghese, DO

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
  • NPI 1558895441
  Medicare reassignment NPD
• David N McVey, PSY.D

  • Clinical Child & Adolescent Psychologist
  • Saint Louis, MO
  • NPI 1134210024
  Medicare reassignment

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1265562300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "address_2": "EDGEWOOD CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CLINIC EAST COMMUNITIES",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "DUNGER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR - FINANCE",
        "authorized_official_telephone_number": "314-364-3707"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Child & Adolescent Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.