Corrine Ann Dale, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

W236154637 Issued in IL

Practice address

1408 Farmview Ave
Saint Louis, MO 63138-2515

Phone

(314) 216-0199

Fax

(314) 741-8992

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Relational Center

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1518629229
  NPD Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1568660447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 FARMVIEW AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631382515",
            "telephone_number": "314-216-0199",
            "fax_number": "314-741-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 FARMVIEW AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631382515",
            "telephone_number": "314-216-0199",
            "fax_number": "314-741-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 Farmview Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631382515",
            "country_code": "US",
            "telephone_number": "314-898-6094",
            "fax_number": "314-741-8992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "CORRINE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2002026438",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IL",
            "license": "W236154637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497178301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preeti Dalawari, M.D.
• Dana Schmidt Dalba, LPC
• Eric Lloyd Dalbey
• Steven M Dalbey, LPC
• Dale E Doerr, M.D. LLC
• Josh Alan Dale, RD, LD
• Kimberly Dache Dale, DOT
• Lynn Dale
• Ryan James Dale
• Tina M Dale, LCSW

• Addiction Medicine (Psychiatry & Neurology) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.