Individual provider Active NPI

Sandra D Duarte-Sckell, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1720105281
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2010027261 Issued in MO
Practice address
3535 S Jefferson Ave Ste 118
Saint Louis, MO 63118-3907
Phone
(314) 776-7999
Fax
(314) 772-2257
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2004018041 MO
Psychiatry Physician 2084P0800X 046068 CT
Psychiatry Physician 2084P0800X MD12964 RI
Psychiatry Physician 2084P0800X 2010027261 MO Primary

Addresses

Primary practice location

3535 S Jefferson Ave Ste 118
Saint Louis, MO 63118-3907

Mailing address

1063 Fruit Tree LN
Saint Louis, MO 63146-4514
Phone (314) 898-8750

Other identifiers 1

IdentifierTypeStateIssuer
SD75901MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046068CTMDPsychiatry Physician
2004018041MOMDPsychiatry Physician
2010027261MOMDPsychiatry Physician
MD12964RIMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1720105281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 FRUIT TREE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464514",
            "telephone_number": "314-898-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE STE 118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183907",
            "telephone_number": "314-776-7999",
            "fax_number": "314-772-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE-SCKELL",
        "first_name": "SANDRA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2004018041",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "046068",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD12964",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2010027261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD75901",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 2012; 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.