Individual provider · Type 1 NPI

Howard Jay Ilivicky, MD

Psychiatry Physician · St. Charles, MO

NPI number 1093711152 Active

Practice location

330 1st Capitol Dr, Ste 390
St. Charles, MO 63301-2852

Call (636) 949-5760 Map

Fax (636) 949-0729

Mailing address

4132 Keaton Crossing Blvd, Ste 201
O Fallon, MO 63368-8222

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician	2084P0800X	118786 (MO)
Psychiatry Physician Primary	2084P0800X	MD61660624 (WA)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1093711152

Howard Jay Ilivicky, MD's National Provider Identifier is 1093711152, issued on Jun 23, 2005. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in St. Charles, MO. The record was last updated on Apr 8, 2025.