Active NPI
Jane L Anton, PH.D.
- Psychologist
- Kirkwood, MO
National Provider Identifier
1649574146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 000666
- Practice address
- 471 S Clay Ave
Kirkwood, MO 63122-5807 - Phone
- (314) 367-2155
- Fax
- (314) 835-9035
- NPI assigned
- Dec 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 000666 | MO | Primary |
Addresses
Primary practice location
471 S Clay Ave
Kirkwood, MO 63122-5807
Mailing address
471 S Clay Ave
Kirkwood, MO 63122-5807
Phone (314) 367-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050929000078 | MO | Practitioner - Clinical Psychologist | 4587699459 | Practice locations: Kirkwood, MO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000666 | MO | MD | Clinical Social Worker |
| 00666 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293408000000",
"number": "1649574146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 S CLAY AVE",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631225807",
"telephone_number": "314-367-2155",
"fax_number": "314-835-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 S CLAY AVE",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631225807",
"telephone_number": "314-367-2155",
"fax_number": "314-835-9035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTON",
"first_name": "JANE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2010-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "000666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.