Individual provider Active NPI

Dava M McGougan, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryland Heights, MO
National Provider Identifier
1841611746
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2013037722 Issued in MO
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

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913003125 MO Practitioner - Nurse Practitioner 1850641713 Reassigns benefits to 3 organizations

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
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

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

LicenseStateTypeSpecialty
2013037722MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Sep 12, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 6, 2019 Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 14, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.