Active NPI
Bridget Ann Graham-Royer, PSY,D,
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1760646137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2006033336
- Practice address
- 5351 Delmar Blvd
Saint Louis, MO 63112-3146 - Phone
- (314) 877-0839
- Fax
- (314) 877-0553
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 2006033336 | MO | Primary |
Addresses
Primary practice location
5351 Delmar Blvd
Saint Louis, MO 63112-3146
Mailing address
5351 Delmar Blvd
Saint Louis, MO 63112-3146
Phone (314) 877-0839
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006033336 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1760646137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5351 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631123146",
"telephone_number": "314-877-0839",
"fax_number": "314-877-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5351 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631123146",
"telephone_number": "314-877-0839",
"fax_number": "314-877-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM-ROYER",
"first_name": "BRIDGET",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSY,D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2006033336",
"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 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.