Active NPI
Mind Body Wellness Professionals
- Psychiatry Physician
- Kirkwood, MO
National Provider Identifier
1760246409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monica Bishop, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.