Organization · Type 2 NPI

State of Missouri

Psychiatric Hospital · St. Louis, MO

NPI number 1033289897 Active

Practice location

1901 Pennsylvania Ave
St. Louis, MO 63133-1325

Call (314) 512-7800 Map

Fax (314) 512-7812

Mailing address

PO Box 687
Jefferson City, MO 65102-0687

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Primary	283Q00000X	EXEMPT (MO)

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

14 other providers at this address

Other psychiatric hospital providers in St. Louis

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NPI record

NPI: 1033289897
Entity type: Organization (Type 2)
Issued: Nov 9, 2006
Last updated: Oct 15, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

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Hawthorn Children's Psychiatric Hosptial · doing business as
Hawthorn Children's Psychiatric Hosptial · doing business as

Authorized official

Molly Jane Boeckmann
Director of Administrative Services
(573) 751-4055

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033289897

State of Missouri's National Provider Identifier is 1033289897, issued on Nov 9, 2006. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 15, 2020.