Active NPI
Paul M. Packman Inc.
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1366692303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 29193
- Legal business name
- PAUL M. PACKMAN INC.
- Practice address
- 8301 Maryland Ave.
Suite 320
St. Louis, MO 63105 - Phone
- (314) 727-1666
- Fax
- (314) 727-5488
- NPI assigned
- Sep 26, 2008
- Last updated
- Sep 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Michael Packman, M.D.
- Title
- President
- Phone
- (314) 727-1666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29193 | MO | Primary |
Addresses
Primary practice location
8301 Maryland Ave.
Suite 320
St. Louis, MO 63105
Mailing address
8301 Maryland Ave
Suite 320
St. Louis, MO 63105
Phone (314) 727-1666
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826262307 | Other | MO | RAILROAD MEDICARE |
| 200743300 | Medicaid | MO | |
| 000005191 | Other | MO | MO MEDICARE SERVICES |
National Provider Directory
National Provider DirectoryLocations
1034 S Brentwood Blvd
Ste 1180
Saint Louis, MO 63117
Phone (314) 727-1666
8301 Maryland Ave
Ste 320
Saint Louis, MO 63105
Phone (314) 727-1666
Practitioners & affiliated clinicians
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.
-
- Psychiatry Physician
- Saint Louis, MO
- NPI 1922025485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1366692303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 MARYLAND AVE",
"address_2": "SUITE 320",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63105",
"telephone_number": "314-727-1666",
"fax_number": "314-727-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 MARYLAND AVE.",
"address_2": "SUITE 320",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63105",
"telephone_number": "314-727-1666",
"fax_number": "314-727-5488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL M. PACKMAN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "PACKMAN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-727-1666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "29193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "826262307",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200743300",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO MEDICARE SERVICES",
"identifier": "000005191",
"state": "MO"
}
],
"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 Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.