Organization Active NPI

Mind Body Wellness Professionals

  • Psychiatry Physician
  • Kirkwood, MO
National Provider Identifier
1760246409
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIND BODY WELLNESS PROFESSIONALS
Practice address
10525 Big Bend Rd
Kirkwood, MO 63122-6227
Phone
(314) 200-5273
Fax
(314) 916-3826
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Monica Bishop, MDNPI 1225055726
Title
Owner
Phone
(314) 200-5273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

10525 Big Bend Rd
Kirkwood, MO 63122-6227

Mailing address

5 Clydehurst Dr
Webster Groves, MO 63119-2011

National Provider Directory

National Provider Directory

Locations

10525 Big Bend Rd
Saint Louis, MO 63122
Phone (314) 200-5273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1760246409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CLYDEHURST DR",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 BIG BEND RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226227",
            "telephone_number": "314-200-5273",
            "fax_number": "314-916-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELLNESS PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-200-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.