Individual provider Active NPI

Alexander Rose, MD, MPHS

  • Psychiatry Physician
  • Richmond Heights, MO
National Provider Identifier
1326422841
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2016034315 Issued in MO
Practice address
1034 S Brentwood Blvd Ste 555
Richmond Heights, MO 63117-1265
Phone
(314) 380-8764
Fax
(314) 293-6893
NPI assigned
Jul 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 2016034315 MO
Psychiatry Physician 2084P0800X 2016034315 MO Primary

Addresses

Primary practice location

1034 S Brentwood Blvd Ste 555
Richmond Heights, MO 63117-1265

Mailing address

36 Four Seasons Shopping Ctr # 270
Chesterfield, MO 63017-3103
Phone (314) 380-8764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200804002840 MO Practitioner - Psychiatry 5092029900 Reassigns benefits to 4 organizations
I20210618000210 IL Practitioner - Psychiatry 5092029900
I20231201000606 WI Practitioner - Psychiatry 5092029900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Emergency Center, Inc.Group PAC ID 3274916044, 24 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians

Practice addresses (Care Compare)

1525 N 12TH St
Milwaukee, WI 53205-2591
Phone (414) 966-3030

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016034315MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Mental Health Emergency Center, Inc. CurrentSince Nov 16, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC Psychiatry CurrentSince Jul 27, 2020 Accepting new patients

Locations

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

1525 N 12th St
Milwaukee, WI 53205
Phone (414) 966-3030

Interoperability endpoints

  • Direct secure messaging: alexanderrose@tdh.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1326422841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FOUR SEASONS SHOPPING CTR # 270",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173103",
            "telephone_number": "314-380-8764",
            "fax_number": "314-293-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 555",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171265",
            "telephone_number": "314-380-8764",
            "fax_number": "314-293-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD, MPHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MO",
            "license": "2016034315",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2016034315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.