Mercy Clinic Adult Psychiatry, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MERCY CLINIC ADULT PSYCHIATRY, LLC

Practice address

1400 US Highway 61
Suite H1341
Festus, MO 63028-4100

Phone

(636) 543-2230

Fax

(636) 543-2232

NPI assigned

Dec 3, 2014

Organization subpart

Yes

Parent organization

MERCY CLINIC EAST COMMUNITIESAs reported in NPPES

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

Authorized official

Name

Kerry Dunger

Title

Executive Director - Finance

Phone

(314) 364-3707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Part of

Unity Medical GRP

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Clinic East Communities

  • Rural Health Clinic/Center
  • Bourbon, MO
  • NPI 1235493776

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mercy Clinic East Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Ballwin, MO
  • NPI 1700370061
  NPPES parent name

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mellisa Dawn Black, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1619673894
  Medicare reassignment Care Compare group NPD
• Kimberly Rachel Brandt, D.O.

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1497066740
  Medicare reassignment Care Compare group NPD
• Erica Buchalter, MD

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1770999575
  Medicare reassignment Care Compare group NPD
• Michael P. Cooper, D.O.

  • Psychiatry Physician
  • Festus, MO
  • NPI 1386059277
  Medicare reassignment Care Compare group NPD
• Sunil Gangwani, M.D.

  • Psychiatry Physician
  • Chesterfield, MO
  • NPI 1902004203
  Medicare reassignment Care Compare group NPD
• Alexandria Colleen Grodie, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, MO
  • NPI 1063021905
  Medicare reassignment Care Compare group NPD
• Thomas Horn Jr., D.O.

  • Psychiatry Physician
  • Chesterfield, MO
  • NPI 1841516598
  Medicare reassignment Care Compare group NPD
• Ashley Maull, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1033722061
  Medicare reassignment Care Compare group NPD
• Sara Gina Maximus, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1265233720
  Medicare reassignment Care Compare group NPD
• Agnieszka Milczarek, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1295175677
  Medicare reassignment Care Compare group NPD
• Courtney Leane Miles, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Festus, MO
  • NPI 1558921296
  Medicare reassignment Care Compare group NPD
• Kirstin Jenna Russell, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, MO
  • NPI 1700551918
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1750788972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "address_2": "SUITE H1341",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-543-2230",
            "fax_number": "636-543-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "address_2": "SUITE H1341",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-543-2230",
            "fax_number": "636-543-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC ADULT PSYCHIATRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CLINIC EAST COMMUNITIES",
        "enumeration_date": "2014-12-03",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "DUNGER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR - FINANCE",
        "authorized_official_telephone_number": "314-364-3707"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Medley, BS
• Katherine E Mees
• Kylie Manuella Melton, M.D.
• Menm, LLC (Miracle-Ear)
• Mercy Clinic Adult Hospitalists- Jefferson, LLC
• Mercy Clinic Hyperbaric and Wound Care LLC
• Mercy Health Services, LLC
• Mercy Hospital Jefferson
• Mercy Hospital Jefferson
• Mercy Hospital Jefferson

• Psychiatry Physician in Festus, MO
• Providers in Festus, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.