Individual provider Active NPI

Leticia Ugarte, MD

  • Child & Adolescent Psychiatry Physician
  • Saint Peters, MO
National Provider Identifier
1306049515
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2007013544 Issued in MO
Practice address
255 Spencer Rd Ste 201
Saint Peters, MO 63376-2576
Phone
(636) 939-2550
Fax
(636) 939-2551
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 2007013544 MO Primary

Addresses

Primary practice location

255 Spencer Rd Ste 201
Saint Peters, MO 63376-2576

Mailing address

255 Spencer Rd Ste 201
Saint Peters, MO 63376-2576
Phone (636) 939-2550

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
I20090806000298 MO Practitioner - PsychiatryPractitioner - Neurology 8921151044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007013544MOMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SLH Physicians LLC CurrentSince Nov 1, 2021 Accepting new patients
D Troy Curry MD LLC CurrentSince Aug 19, 2019 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients

Locations

16091 Swingley Ridge Rd
Ste 110
Chesterfield, MO 63017
Phone (314) 997-5208

621 S New Ballas Rd
Ste 693A
Saint Louis, MO 63141
Phone (314) 251-6898

1438 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 977-4828

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: lugarte269343@directc.mercy.net
  • Direct secure messaging: leticia.ugarte.1@18773.direct.athenahealth.com
  • Direct secure messaging: lugarte383728@direct-ehr-ssmhc.com

Organizations & group practices 4

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1306049515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762576",
            "telephone_number": "636-939-2550",
            "fax_number": "636-939-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762576",
            "telephone_number": "636-939-2550",
            "fax_number": "636-939-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGARTE",
        "first_name": "LETICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "2007013544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.