Individual provider Active NPI

Mishell Hashmi, PSY.D.

  • Clinical Psychologist
  • Creve Coeur, MO
National Provider Identifier
1891021879
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2012037793 Issued in MO
Practice address
11457 Olde Cabin Rd
Suite 345
Creve Coeur, MO 63141-7139
Phone
(240) 305-6035
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2012037793 MO Primary

Addresses

Primary practice location

11457 Olde Cabin Rd
Suite 345
Creve Coeur, MO 63141-7139

Mailing address

3949 Lindell Blvd Apt 1027
Saint Louis, MO 63108-3277
Phone (240) 305-6035

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180110000116 MO Practitioner - Clinical Psychologist 1355478637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Behavioral Medicine Institute Inc CurrentSince Jan 1, 2018 Accepting new patients
St. Louis Behavioral Medicine Institute Inc CurrentSince Jan 1, 2018 Accepting new patients
Dennis J Niswonger, Psy.D, S.C Clinical Past Accepting new patients

Locations

16216 Baxter Rd
Ste 205
Chesterfield, MO 63017
Phone (314) 432-4446

1129 Macklind Ave
Saint Louis, MO 63110
Phone (314) 534-0200

Organizations & group practices 3

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": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1891021879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 LINDELL BLVD APT 1027",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083277",
            "telephone_number": "240-305-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11457 OLDE CABIN RD",
            "address_2": "SUITE 345",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417139",
            "telephone_number": "240-305-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHMI",
        "first_name": "MISHELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2012037793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.