Active NPI
Jeffrey Brent Farb, PSYD.
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1972520971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 01073
- Practice address
- 1035 Bellevue Ave Ste 105
Saint Louis, MO 63117-1847 - Phone
- (314) 645-7411
- Fax
- (314) 645-5678
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 01073 | MO | Primary |
Addresses
Primary practice location
1035 Bellevue Ave Ste 105
Saint Louis, MO 63117-1847
Mailing address
1035 Bellevue Ave Ste 105
Saint Louis, MO 63117-1847
Phone (314) 645-7411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3009 N Ballas Rd
Suite 350C
Saint Louis, MO 63131-2383
Phone (314) 440-5211
680 N Lake Shore Dr
Suite 1040
Chicago, IL 60611-8718
Phone (314) 440-5211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01073 | MO | MD | Clinical Psychologist |
Organizations & group practices 1
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": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972520971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 BELLEVUE AVE STE 105",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171847",
"telephone_number": "314-645-7411",
"fax_number": "314-645-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 BELLEVUE AVE STE 105",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171847",
"telephone_number": "314-645-7411",
"fax_number": "314-645-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARB",
"first_name": "JEFFREY",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "01073",
"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 Jul 8, 2007; 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.