Organization Active NPI

Sundeepjayaprabhu MD LLC

Doing business as Sundeep Jayaprabhu MD

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1700026952
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2007027060 Issued in MO
Legal business name
SUNDEEPJAYAPRABHU MD LLC
Doing business as
Sundeep Jayaprabhu MD
Practice address
225 S Meramec Ave
Suite #932T
Saint Louis, MO 63105-3511
Phone
(314) 650-4926
NPI assigned
Mar 1, 2009
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Sundeep M Jayaprabhu, M.D.
Title
Sole Member
Phone
(314) 650-4926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2007027060 MO Primary

Addresses

Primary practice location

225 S Meramec Ave
Suite #932T
Saint Louis, MO 63105-3511

Mailing address

225 S Meramec Ave
Suite #932T
Saint Louis, MO 63105-3511
Phone (314) 650-4926

Other names 1

  • Sundeep Jayaprabhu MD Doing business as

National Provider Directory

National Provider Directory

Locations

225 S Meramec Ave
Ste 932T
Saint Louis, MO 63105
Phone (314) 862-7755

2301 Hampton Ave
Saint Louis, MO 63139
Phone (888) 657-3201

NPI Registry JSON

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

{
    "created_epoch": "1235865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1700026952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S MERAMEC AVE",
            "address_2": "SUITE #932T",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053511",
            "telephone_number": "314-650-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MERAMEC AVE",
            "address_2": "SUITE #932T",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053511",
            "telephone_number": "314-650-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDEEPJAYAPRABHU MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-01",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "JAYAPRABHU",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "314-650-4926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2007027060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundeep Jayaprabhu MD",
            "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 May 22, 2015; 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.