Individual provider Active NPI

Allison Nicole Hotz, PHD

  • Clinical Psychologist
  • Bridgeton, MO
National Provider Identifier
1700610979
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2024037394 Issued in MO
Practice address
12380 Depaul Drive
Bridgeton, MO 63044
Phone
(314) 447-9700
NPI assigned
Aug 29, 2024
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2024037394 MO Primary

Addresses

Primary practice location

12380 Depaul Drive
Bridgeton, MO 63044

Mailing address

3201 Morganford Rd Apt 202
Saint Louis, MO 63116-1831
Phone (901) 517-2897

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903000967 MO Practitioner - Clinical Psychologist 3779016951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1027 Bellevue Ave
Richmond Heights, MO 63117-1996
Phone (314) 768-5202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2024037394MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Select Rehab St Louis LLC Psychologist CurrentSince Sep 23, 2024 Accepting new patients
SSM Select Rehab St. Louis, LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

3572 Solutions Ctr
Chicago, IL 60677

100 Medical Plz
Fl 5
Lake St Louis, MO 63367
Phone (636) 625-5200

1027 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 768-5202

6420 Clayton Rd
#6
Saint Louis, MO 63117
Phone (314) 768-5300

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1700610979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 MORGANFORD RD APT 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161831",
            "telephone_number": "901-517-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 DEPAUL DRIVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-447-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTZ",
        "first_name": "ALLISON",
        "middle_name": "NICOLE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2024037394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.