Sparrow Psychological Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LC0731335 Issued in MO

Legal business name

SPARROW PSYCHOLOGICAL SERVICES, LLC

Practice address

777 Craig Rd
Suite 100
Saint Louis, MO 63141-7138

Phone

(314) 991-1033

Fax

(314) 395-2432

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robin Susan Park, MD

Title

Managing Member

Phone

(314) 991-1033

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1831274943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "314-991-1033",
            "fax_number": "314-395-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "314-991-1033",
            "fax_number": "314-395-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-991-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MO",
            "license": "LC0731335",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MO",
            "license": "LC0731335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Sparkman
• Jayme L Sparkman, ANP
• Ramona Paula Sparks-Morelli, M.S.
• Maggie Diane Sparks, M.A,
• Tyler J. Sparks, LPC, NCC
• Christopher Theis Sparrow, MD
• Thomas G Sparrow, STATE LICENSED HEARI
• Elizabeth B Spataro, DMD
• Andrea Denise Spates, RN
• Breanna Mone' Spates

• Adult Mental Health Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.