Organization Active NPI

Spectrum Psychiatry, P.C.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1952791956
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SPECTRUM PSYCHIATRY, P.C.
Practice address
745 Old Frontenac SQ Ste 201
Saint Louis, MO 63131-2755
Phone
(314) 395-8940
Fax
(314) 395-8941
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Zinia Thomas, M.D.
Title
Owner
Phone
(314) 395-8940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

745 Old Frontenac SQ Ste 201
Saint Louis, MO 63131-2755

Mailing address

745 Old Frontenac SQ Ste 201
Saint Louis, MO 63131-2755
Phone (314) 395-8940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1952791956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OLD FRONTENAC SQ STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312755",
            "telephone_number": "314-395-8940",
            "fax_number": "314-395-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OLD FRONTENAC SQ STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312755",
            "telephone_number": "314-395-8940",
            "fax_number": "314-395-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PSYCHIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ZINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-395-8940",
        "authorized_official_credential": "M.D."
    },
    "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 Jan 28, 2015; 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.