Active NPI
John Rabun, M.D.
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1992854046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R8N45
- Practice address
- 9890 Clayton Rd Ste 100
Saint Louis, MO 63124-1685 - Phone
- (314) 222-5826
- Fax
- (314) 222-6321
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036096626 | IL | |
| Psychiatry Physician | 2084P0800X | R8N45 | MO | Primary |
Addresses
Primary practice location
9890 Clayton Rd Ste 100
Saint Louis, MO 63124-1685
Mailing address
9890 Clayton Rd Ste 100
Saint Louis, MO 63124-1685
Phone (314) 222-5826
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rabunoffice@claytonbehavioral.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 9, 2022 through May 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036096626 | IL | MD | Psychiatry Physician |
| R8N45 | MO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1992854046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9890 CLAYTON RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241685",
"telephone_number": "314-222-5826",
"fax_number": "314-222-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9890 CLAYTON RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241685",
"telephone_number": "314-222-5826",
"fax_number": "314-222-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABUN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036096626",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "R8N45",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rabunoffice@claytonbehavioral.com",
"affiliation": "N",
"endpointDescription": "Practice Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Secure Correspondence",
"address_1": "9890 Clayton Rd Ste 100",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631241685",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.