NPIMap

Organization Active NPI

Webster Wellness Professionals Inc

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1639494891
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
RO282 Issued in MO
Legal business name
WEBSTER WELLNESS PROFESSIONALS INC
Practice address
231 W Lockwood Ave
Suite 202
Saint Louis, MO 63119-2951
Phone
(314) 737-4070
Fax
(314) 737-4071
NPI assigned
Mar 31, 2010
Organization subpart
Yes
Parent organization
MCCALLUM GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Mr. Randall C. Flanery, PHD
Title
Director
Phone
(314) 737-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X RO282 MO Primary

Addresses

Primary practice location

231 W Lockwood Ave
Suite 202
Saint Louis, MO 63119-2951

Mailing address

231 W Lockwood Ave
Suite 202
Saint Louis, MO 63119-2951
Phone (314) 737-4070

National Provider Directory

National Provider Directory
Part of
McCallum Group LLC

Locations

231 W Lockwood Ave
Ste 202
Webster Groves, MO 63119
Phone (314) 737-4070

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1639494891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W LOCKWOOD AVE",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192951",
            "telephone_number": "314-737-4070",
            "fax_number": "314-737-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W LOCKWOOD AVE",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192951",
            "telephone_number": "314-737-4070",
            "fax_number": "314-737-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER WELLNESS PROFESSIONALS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALLUM GROUP",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "FLANERY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-737-4070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "RO282",
            "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 Aug 18, 2010; 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.