St. Charles West Psychological

Primary specialty

PsychologistTaxonomy code 103T00000X

License

01486 Issued in MO

Legal business name

ST. CHARLES WEST PSYCHOLOGICAL

Practice address

600 Medical Dr
Wentzville, MO 63385-3426

Phone

(636) 332-5050

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Kimberly Sloan

Title

Owner

Phone

(636) 332-5050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1396123022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEDICAL DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853426",
            "telephone_number": "636-332-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES WEST PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-332-5050"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Charles West Psychological
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• St. Charles County Orthodonctics West
• St. Charles Sports&Physical Therapy, Inc.
• St. Joseph's Health Center Women's and Children's Services Clinic (Physicians of SSM St. Louis)
• Jennifer Ann Staggs, FNP-BC
• Tabbatha Stanton, LPC
• Kathryn C Steinmann, CNP
• Jacqueline Claire Steinrauf

• Psychologist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.