Active NPI
Patricia Kay Hoffman, PH.D.
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1740346907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 01621
- Practice address
- 2918 Sutton Blvd
Saint Louis, MO 63143-3012 - Phone
- (314) 644-1806
- Fax
- (314) 646-1809
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01621 | MO | Primary |
Addresses
Primary practice location
2918 Sutton Blvd
Saint Louis, MO 63143-3012
Mailing address
2918 Sutton Blvd
Saint Louis, MO 63143-3012
Phone (314) 644-1806
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01621 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740346907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 SUTTON BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631433012",
"telephone_number": "314-644-1806",
"fax_number": "314-646-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 SUTTON BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631433012",
"telephone_number": "314-644-1806",
"fax_number": "314-646-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "PATRICIA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "01621",
"primary": true
}
],
"identifiers": [],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.