Organization Active NPI

University Psychiatric Associates,LLC

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1447425483
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2001024578 Issued in MO
Legal business name
UNIVERSITY PSYCHIATRIC ASSOCIATES,LLC
Practice address
443 N New Ballas Rd Ste 249
Saint Louis, MO 63141-6866
Phone
(314) 872-6808
NPI assigned
Apr 29, 2008
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Dr. Radhika Rao, MDNPI 1952485708
Title
Ceo
Phone
(314) 872-6808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2001024578 MO Primary

Addresses

Primary practice location

443 N New Ballas Rd Ste 249
Saint Louis, MO 63141-6866

Mailing address

443 N New Ballas Rd Ste 249
Saint Louis, MO 63141-6866
Phone (314) 872-6808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000904 MO Part B Supplier - Clinic/Group Practice 4284713322 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO; Washington, MO; Valley Park, MO; Saint Peters, MO; Saint Charles, MO; O Fallon, MO; Festus, MO; Bridgeton, MO

National Provider Directory

National Provider Directory

Locations

12349 De Paul Dr
Bridgeton, MO 63044
Phone (314) 209-7700

1 Barnes Jewish Hospital Plz
Ste 16303
Saint Louis, MO 63110
Phone (314) 367-4500

3801 McClay Rd
Uppr
Saint Peters, MO 63376
Phone (636) 244-3323

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1447425483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N NEW BALLAS RD STE 249",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416866",
            "telephone_number": "314-872-6808",
            "fax_number": "314-872-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 N NEW BALLAS RD STE 249",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416866",
            "telephone_number": "314-872-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PSYCHIATRIC ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-872-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2001024578",
            "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 Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.