Organization Active NPI

Positive Family Dynamics,PC

  • Health Service Psychologist
  • Saint Louis, MO
National Provider Identifier
1568732550
Registry record updated Oct 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
PY01089 Issued in MO
Legal business name
POSITIVE FAMILY DYNAMICS,PC
Doing business as
positive family living
Practice address
745 Craig Road
Saint Louis, MO 63141-7122
Phone
(314) 729-2855
Fax
(314) 529-3534
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2025

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

Authorized official

Name
Ms. Alice G Vlietstra, PH.D.NPI 1841324753
Title
Owner
Phone
(314) 729-2855

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0100X PY01089 MO Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 300075 MO

Addresses

Primary practice location

745 Craig Road
Saint Louis, MO 63141-7122

Mailing address

3042 Andover Dr
Saint Louis, MO 63121-4606
Phone (314) 729-2855

Other identifiers 2

IdentifierTypeStateIssuer
075243OtherMOVALUE OPTIONS
1601OtherMOBLUE DROSS BLUE SHIELD

Other names 1

  • positive family living Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000843 MO Part B Supplier - Clinic/Group Practice 1456510973 Receives reassigned benefits from 1 practitioner
Practice locations: Creve Coeur, MO

National Provider Directory

National Provider Directory

Locations

12131 Dorsett Rd
Ste 220
Maryland Heights, MO 63043
Phone (314) 298-0900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761436800000",
    "number": "1568732550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 ANDOVER DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214606",
            "telephone_number": "314-729-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 CRAIG ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417122",
            "telephone_number": "314-729-2855",
            "fax_number": "314-529-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE FAMILY DYNAMICS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2025-10-26",
        "certification_date": "2025-10-26",
        "status": "A",
        "authorized_official_last_name": "VLIETSTRA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-729-2855",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "MO",
            "license": "PY01089",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "300075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "075243",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE DROSS BLUE SHIELD",
            "identifier": "1601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "positive family living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "positive family living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 2025; 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.