Active NPI
Annie Chang, MD
- Child & Adolescent Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1568032936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 2025031649
- Practice address
- 1 Childrens PL
Saint Louis, MO 63110-1002 - Phone
- (314) 286-1700
- NPI assigned
- Jun 29, 2021
- Last updated
- Jul 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2024028105 | MO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2025031649 | MO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2024028105 | MO |
Addresses
Primary practice location
1 Childrens PL
Saint Louis, MO 63110-1002
Mailing address
660 S Euclid Ave # 8504
Saint Louis, MO 63110-1010
Phone (314) 286-1700
Other practice location 1
211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777
Other practice location 2
4444 Forest Park Ave Ste 2600
Saint Louis, MO 63108-2212
Phone (314) 286-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210803002007 | MO | Order and Referring Only - Psychiatry | 3173927803 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2800 Clay Edwards Dr
Central Verification Office and Payor Enr
North Kansas City, MO 64116-3220
2800 Clay Edwards Drive
Central Verification Office and Payor Enrollment
North Kansas City, MO 64116-3281
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024028105 | MO | MD | Child & Adolescent Psychiatry Physician |
| 2025031649 | MO | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1568032936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE # 8504",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-286-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101002",
"telephone_number": "314-286-1700"
}
],
"practiceLocations": [
{
"address_1": "211 NE 54th St Ste 201",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641184330",
"country_code": "US",
"telephone_number": "816-453-6777",
"fax_number": "816-454-3601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4444 Forest Park Ave Ste 2600",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631082212",
"country_code": "US",
"telephone_number": "314-286-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "ANNIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MO",
"license": "2024028105",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MO",
"license": "2025031649",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2024028105",
"primary": false
}
],
"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 Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.