Jefferies Caul, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

01182 Issued in MO

Practice address

108 N Clay Ave
Suite 220
Saint Louis, MO 63122-4205

Phone

(314) 800-5381

Fax

(314) 894-3836

NPI assigned

Sep 20, 2006

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barbara J Edelman, LLC

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1154671766
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1427155340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N CLAY AVE",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224205",
            "telephone_number": "314-800-5381",
            "fax_number": "314-894-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N CLAY AVE",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224205",
            "telephone_number": "314-800-5381",
            "fax_number": "314-894-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUL",
        "first_name": "JEFFERIES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "01182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Lawrence Catron, DPT
• Jacquelyn Surrell Cattage, PH.D.
• Angela J Cattani, MD
• Matthew E Cauble, MA
• Karen A Caudill, MD
• Kelly Kathleen Caul, LCSW
• Clayton Caulkins, MD
• Tracyne Marie Caumartin, MSW,LCSW
• Martin Caupp
• Michael Ryan Cavalier

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.