St. Louis Psychiatric Associates, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ST. LOUIS PSYCHIATRIC ASSOCIATES, LLC

Practice address

522 N New Ballas Rd
Suite 245
Saint Louis, MO 63141-6857

Phone

(314) 942-3057

Fax

(314) 942-3059

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Malik I Ahmed X, MD

Title

Owner

Phone

(314) 942-3057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1356727465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "SUITE 245",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-942-3057",
            "fax_number": "314-942-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "SUITE 245",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-942-3057",
            "fax_number": "314-942-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS PSYCHIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-942-3057",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.