Active NPI
Dava M McGougan, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Maryland Heights, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2013037722
- Practice address
- 2458 Old Dorsett Rd Ste 110
Maryland Heights, MO 63043-2423 - Phone
- (314) 476-0732
- NPI assigned
- Dec 18, 2013
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2013037722 | MO | Primary |
Addresses
Primary practice location
2458 Old Dorsett Rd Ste 110
Maryland Heights, MO 63043-2423
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
3009 N Ballas Rd Ste 383C
Saint Louis, MO 63131-2324
Phone (314) 996-4545
Other practice location 2
University Of Missouri
S439 Sinclair School of Nursing
Columbia, MO 65211-3298
Phone (314) 799-7453
Other names 1
- Ms. Dava M Carnahan
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2458 Old Dorsett Rd
Suite 110
Maryland Heights, MO 63043-2423
Phone (314) 476-0732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013037722 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
16020 Swingley Ridge Rd
Ste 300
Chesterfield, MO 63017
Phone (636) 432-5000
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
2458 Old Dorsett Rd
Ste 110
Maryland Heights, MO 63043
Phone (314) 476-0732
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 110
Rolla, MO 65401
Phone (573) 458-6300
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
621 S New Ballas Rd
Ste 399A
Saint Louis, MO 63141
Phone (314) 251-1820
255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550
Interoperability endpoints
- lifestancehealth.davamcgougan@140753.advancedmd-direct.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
MO
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1841611746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2458 OLD DORSETT RD STE 110",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630432423",
"telephone_number": "314-476-0732"
}
],
"practiceLocations": [
{
"address_1": "3009 N Ballas Rd Ste 383C",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631312324",
"country_code": "US",
"telephone_number": "314-996-4545",
"fax_number": "314-996-4546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "University Of Missouri",
"address_2": "S439 Sinclair School of Nursing",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652113298",
"country_code": "US",
"telephone_number": "314-799-7453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGOUGAN",
"first_name": "DAVA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-18",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2013037722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVA",
"last_name": "CARNAHAN",
"middle_name": "M",
"prefix": "MS.",
"credential": "DNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Maryland Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.