Organization Active NPI

Vantage Point Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Wentzville, MO
National Provider Identifier
1336080183
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VANTAGE POINT PSYCHIATRY
Practice address
129 Brookshire Creek Dr
Wentzville, MO 63385-5593
Phone
(636) 200-7187
Fax
(314) 689-6474
NPI assigned
Apr 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Theresa Debord, PMHNP-BCNPI 1134772353
Title
Owner
Phone
(636) 200-7187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

129 Brookshire Creek Dr
Wentzville, MO 63385-5593

Mailing address

129 Brookshire Creek Dr
Wentzville, MO 63385-5593
Phone (636) 200-7187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260618001715 MO Part B Supplier - Clinic/Group Practice 1456823616 Receives reassigned benefits from 1 practitioner
Practice locations: Wentzville, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1336080183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BROOKSHIRE CREEK DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633855593",
            "telephone_number": "636-200-7187",
            "fax_number": "314-689-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BROOKSHIRE CREEK DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633855593",
            "telephone_number": "636-200-7187",
            "fax_number": "314-689-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE POINT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-200-7187",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.