Individual provider Active NPI

Cheryl Griffin, LCSW

  • Psychoanalyst
  • Saint Louis, MO
National Provider Identifier
1487860417
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
SW004527 Issued in MO
Practice address
8820 Ladue Rd
Third Floor, Ste.317
Saint Louis, MO 63124-2079
Phone
(314) 754-3258
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X SW004527 MO Primary

Addresses

Primary practice location

8820 Ladue Rd
Third Floor, Ste.317
Saint Louis, MO 63124-2079

Mailing address

8820 Ladue Road
Third Floor Ste 317
Saint Louis, MO 63124
Phone (314) 754-3258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW004527MOMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1487860417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 LADUE ROAD",
            "address_2": "THIRD FLOOR STE 317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63124",
            "telephone_number": "314-754-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 LADUE RD",
            "address_2": "THIRD FLOOR, STE.317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242079",
            "telephone_number": "314-754-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CHERYL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MO",
            "license": "SW004527",
            "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 Feb 29, 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.

Verify at the official NPI Registry.