Active NPI
Sundeepjayaprabhu MD LLC
Doing business as Sundeep Jayaprabhu MD
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1700026952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2007027060
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.