Organization Active NPI

Fleur de Lys Psychiatric Services

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1619713922
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FLEUR DE LYS PSYCHIATRIC SERVICES
Practice address
7710 Carondelet Ave Ste 513
Saint Louis, MO 63105-3323
Phone
(314) 246-0264
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Celeste HerlethNPI 1780812743
Title
Owner/Psychiatrist
Phone
(314) 246-0264

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7710 Carondelet Ave Ste 513
Saint Louis, MO 63105-3323

Mailing address

7710 Carondelet Ave Ste 513
Saint Louis, MO 63105-3323
Phone (314) 246-0264

National Provider Directory

National Provider Directory

Locations

7710 Carondelet Ave
Ste 513
Saint Louis, MO 63105
Phone (314) 246-0264

Practitioners & affiliated clinicians

Practitioners 1

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": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1619713922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 513",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053323",
            "telephone_number": "314-246-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 513",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053323",
            "telephone_number": "314-246-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEUR DE LYS PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "HERLETH",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "314-246-0264"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Jul 5, 2024; 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.