Individual provider Active NPI

Kelechi J.N. Loynd, MD

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1720104888
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2009001612 Issued in MO
Practice address
1 Brookings Dr
Saint Louis, MO 63130-4862
Phone
(314) 935-6666
Fax
(314) 696-1214
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2009001612 MO
Psychiatry Physician 2084P0800X 2009001612 MO Primary

Addresses

Primary practice location

1 Brookings Dr
Saint Louis, MO 63130-4862

Mailing address

PO Box 7412043
Chicago, IL 60674-2043
Phone (314) 935-6666

Other identifiers 1

IdentifierTypeStateIssuer
200029621MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120313000619 IL Practitioner - Psychiatry 9335308246 Reassigns benefits to 1 organization
I20160309000296 MO Practitioner - Psychiatry 9335308246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, 117 clinicians

Practice addresses (Care Compare)

2615 Edwards St
Alton, IL 62002-3915
Phone (618) 462-4342

4 Memorial Dr
Suite 210
Alton, IL 62002-6704
Phone (618) 463-5905

6000 Bond Ave
Centreville, IL 62207-2328
Phone (618) 332-2740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009001612MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Feb 14, 2012 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Feb 15, 2021 Accepting new patients
Habif Health and Wellness Center CurrentSince Apr 27, 2025 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Feb 14, 2012 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients

Locations

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

621 S New Ballas Rd
Ste 693A
Saint Louis, MO 63141
Phone (314) 251-6898

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

1 Brookings Dr
Saint Louis, MO 63130
Phone (314) 935-6666

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

Interoperability endpoints

  • Direct secure messaging: kelechi.loynd.1@9559.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1720104888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412043",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742043",
            "telephone_number": "314-935-6666",
            "fax_number": "314-696-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKINGS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304862",
            "telephone_number": "314-935-6666",
            "fax_number": "314-696-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYND",
        "first_name": "KELECHI",
        "middle_name": "J.N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "2009001612",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2009001612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200029621",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Brookings Dr",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631304862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.