Active NPI
Rosemary Pates
- Psychoanalyst
- Saint Louis, MO
National Provider Identifier
1568689727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 04101
- Practice address
- 1717 Biddle St
Murphy O'Fallon Health Clinic
Saint Louis, MO 63106-3454 - Phone
- (314) 814-8632
- Fax
- (314) 814-8542
- NPI assigned
- Apr 19, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 04101 | MO | Primary |
Addresses
Primary practice location
1717 Biddle St
Murphy O'Fallon Health Clinic
Saint Louis, MO 63106-3454
Mailing address
6418 Lake Paddock Dr
Florissant, MO 63033-4927
Phone (314) 775-9202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004101 | Other | MO | LICENSED CLINICAL SW |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04101 | MO | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568689727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6418 LAKE PADDOCK DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630334927",
"telephone_number": "314-775-9202",
"fax_number": "314-814-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 BIDDLE ST",
"address_2": "MURPHY O'FALLON HEALTH CLINIC",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631063454",
"telephone_number": "314-814-8632",
"fax_number": "314-814-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATES",
"first_name": "ROSEMARY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "MO",
"license": "04101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SW",
"identifier": "004101",
"state": "MO"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.