Individual provider Active NPI

Agnieszka Milczarek, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1295175677
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2013017016 Issued in MO
Practice address
660 S Euclid Ave
Washington University, Dept. of Psychiatry, Box 8134
Saint Louis, MO 63110-1010
Phone
(314) 362-2462
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2013017016 MO Primary

Addresses

Primary practice location

660 S Euclid Ave
Washington University, Dept. of Psychiatry, Box 8134
Saint Louis, MO 63110-1010

Mailing address

660 S Euclid Ave
Washington University, Dept. of Psychiatry, Box 8134
Saint Louis, MO 63110-1010

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
I20210119000203 MO Practitioner - Psychiatry 0648409383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Washington University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Adult Psychiatry LLCGroup PAC ID 4688998602, 15 clinicians

Practice addresses (Care Compare)

12125 Conway Rd
Suite 160
Saint Louis, MO 63141-8241
Phone (314) 251-2870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013017016MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri Psychiatry CurrentSince Sep 24, 2017 Accepting new patients
Mercy Clinic Adult Psychiatry, LLC Psychiatry CurrentSince Jan 4, 2021 Accepting new patients
State of Missouri Psychiatry CurrentSince Sep 24, 2017 Accepting new patients

Locations

12125 Conway Rd
Ste 160
Saint Louis, MO 63141
Phone (314) 251-2870

5300 Arsenal St
Saint Louis, MO 63139
Phone (314) 644-8000

Organizations & group practices 3

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1295175677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "WASHINGTON UNIVERSITY, DEPT. OF PSYCHIATRY, BOX 8134",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "WASHINGTON UNIVERSITY, DEPT. OF PSYCHIATRY, BOX 8134",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILCZAREK",
        "first_name": "AGNIESZKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2013017016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.