Individual provider Active NPI

Mary Elizabeth Herbst, ED.S., NCSP

  • Psychologist
  • Brentwood, MO
National Provider Identifier
1992387856
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2221 High School Dr
Brentwood, MO 63144-1700
Phone
(314) 962-3837
NPI assigned
Apr 21, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

2221 High School Dr
Brentwood, MO 63144-1700

Mailing address

12110 Clayton Rd
Saint Louis, MO 63131-2599
Phone (314) 989-8448

Other practice location 1

9127 White Ave
Brentwood, MO 63144-1600
Phone (314) 962-3837 ext. 1054

Other practice location 2

1201 Hanley Industrial Ct
Brentwood, MO 63144-1911
Phone (314) 962-3837 ext. 1054

Other practice location 3

2350 Saint Clair Ave
Brentwood, MO 63144-1644
Phone (314) 962-3837 ext. 1054

Other practice location 4

8636 Litzsinger Rd
Brentwood, MO 63144-2423
Phone (314) 962-3837 ext. 1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1992387856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312599",
            "telephone_number": "314-989-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 HIGH SCHOOL DR",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441700",
            "telephone_number": "314-962-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9127 White Ave",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "631441600",
            "country_code": "US",
            "telephone_number": "314-962-3837 x1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Hanley Industrial Ct",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "631441911",
            "country_code": "US",
            "telephone_number": "314-962-3837 x1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "631441644",
            "country_code": "US",
            "telephone_number": "314-962-3837 x1054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8636 Litzsinger Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "631442423",
            "country_code": "US",
            "telephone_number": "314-962-3837 x1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBST",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.