A M Datuin Psychiatry & Neurology, SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R3727 Issued in MO

Legal business name

A M DATUIN PSYCHIATRY & NEUROLOGY, SC

Practice address

6209 Mid Rivers Mall Dr
#317
Saint Peters, MO 63304-1102

Phone

(636) 244-4500

Fax

(636) 244-4505

NPI assigned

Mar 26, 2007

Last updated

Nov 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrice M Flanagan, RN, MBA

Title

Practice Manager

Phone

(636) 244-4500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nancy Birtley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Peters, MO
  • NPI 1689673956
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1306963939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 MID RIVERS MALL DR",
            "address_2": "#317",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041102",
            "telephone_number": "636-244-4500",
            "fax_number": "636-244-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 MID RIVERS MALL DR",
            "address_2": "#317",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041102",
            "telephone_number": "636-244-4500",
            "fax_number": "636-244-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A M DATUIN PSYCHIATRY & NEUROLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "636-244-4500",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R3727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.