Individual provider Active NPI

Ralph H Orlovick, PH.D.

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1346386331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY00778 Issued in MO
Practice address
225 S Meramec Ave
Suite 932
Saint Louis, MO 63105-3511
Phone
(314) 863-7141
Fax
(314) 863-2114
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY00778 MO Primary

Addresses

Primary practice location

225 S Meramec Ave
Suite 932
Saint Louis, MO 63105-3511

Mailing address

225 S Meramec Ave
Suite 932
Saint Louis, MO 63105-3511
Phone (314) 863-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY00778MOMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346386331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S MERAMEC AVE",
            "address_2": "SUITE 932",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053511",
            "telephone_number": "314-863-7141",
            "fax_number": "314-863-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MERAMEC AVE",
            "address_2": "SUITE 932",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053511",
            "telephone_number": "314-863-7141",
            "fax_number": "314-863-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLOVICK",
        "first_name": "RALPH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PSY00778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.