Individual provider Active NPI

Barry Alan Hiatt, MD

  • Psychiatry Physician
  • St Louis, MO
National Provider Identifier
1801991781
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R4783 Issued in MO
Practice address
8820 Ladue Road
Suite 308
St Louis, MO 63124-2079
Phone
(314) 754-3246
Fax
(314) 446-3049
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R4783 MO Primary

Addresses

Primary practice location

8820 Ladue Road
Suite 308
St Louis, MO 63124-2079

Mailing address

8820 Ladue Road
Suite 308
St Louis, MO 63124-2079
Phone (314) 754-3246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000032 MO Practitioner - Psychiatry 6901921410 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1801991781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 LADUE ROAD",
            "address_2": "SUITE 308",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631242079",
            "telephone_number": "314-754-3246",
            "fax_number": "314-446-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 LADUE ROAD",
            "address_2": "SUITE 308",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631242079",
            "telephone_number": "314-754-3246",
            "fax_number": "314-446-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "BARRY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R4783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.