Garry Vickar & Associates

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R5051 Issued in MO

Legal business name

GARRY VICKAR & ASSOCIATES

Practice address

11125 Dunn Rd
213
St Louis, MO 63136

Phone

(314) 837-4900

Fax

(314) 837-5646

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Rita W Harris

Title

Office Manager

Phone

(314) 837-4900

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Vickar Tilzer & Associates Other name

Locations

Practitioners 1

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

• Howard Jay Ilivicky, M.D.

  • Psychiatry Physician
  • Saint Charles, MO
  • NPI 1093711152
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1780716696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "213",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-837-4900",
            "fax_number": "314-837-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "213",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-837-4900",
            "fax_number": "314-837-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY VICKAR & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-837-4900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "180000336",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003196",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R5051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502992407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vickar Tilzer & Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina A. Garretto, D.O.
• Dante O Garrido, M.D.
• Chelsey Elizabeth Garrison, PA
• Joseph Thomas Garrity, M.D.
• Matthew Richard Garrity, MD
• Susan Gartenberg, LPC
• Shannon Gartland, LPC
• Joy Garton, OTR/L
• Terri Garton, C.R.N.A.
• Grant Gartrell

• Psychiatry Physician in St Louis, MO
• Providers in St Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.