Active NPI
Jordan Balter P.C.
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1851650824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- JORDAN BALTER P.C.
- Practice address
- 6220 S Lindbergh Blvd
Ste 203
Saint Louis, MO 63123-7839 - Phone
- (314) 422-3617
- NPI assigned
- May 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jordan Balter, D.O.
- Title
- President
- Phone
- (314) 422-3617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
6220 S Lindbergh Blvd
Ste 203
Saint Louis, MO 63123-7839
Mailing address
6220 S Lindbergh Blvd
Ste 203
Saint Louis, MO 63123-7839
Phone (314) 422-3617
National Provider Directory
National Provider DirectoryLocations
4173 Crescent Dr
Saint Louis, MO 63129
Phone (314) 845-0571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384819200000",
"number": "1851650824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 S LINDBERGH BLVD",
"address_2": "STE 203",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631237839",
"telephone_number": "314-422-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 S LINDBERGH BLVD",
"address_2": "STE 203",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631237839",
"telephone_number": "314-422-3617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORDAN BALTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2013-11-19",
"status": "A",
"authorized_official_last_name": "BALTER",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-422-3617",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.