DR. MICHAEL S GAFFREY (NPI# 1114396330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114396330 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S GAFFREY |
| Credential | PSYD |
| Practice Address |
4444 Forest Park Ave Ste 2600 Ste 2600 Saint Louis MO 63108-2212 |
| Mailing Address |
660 S Euclid Ave C B 8134 Saint Louis MO 63110-1010 |
| Practice Telephone | 3142861700 |
| Practice Fax Number | 3142861799 |
| Mailing Telephone | 3142861700 |
| Mailing Fax Number | 3142861799 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2010039559 | MO | Behavioral Health & Social Service Providers |
| Street Address |
4444 FOREST PARK AVE STE 2600 STE 2600 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735876 | Cynthia L Woodcock | Nurse Practitioner | 4444 Forest Park Ave Ste 2600, Ste 2600, Saint Louis, MO 63108-2212 | 2005-07-26 |
| 1477183689 | Shae Lynn Strom | Social Worker | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2020-01-16 |
| 1386284990 | Virginia Cozon Lanzotti | Nurse Practitioner | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2020-01-11 |
| 1255845863 | Laura Weilbacher Rayhawk | Counselor | 4444 Forest Park Ave Ste 2600, Ste 2600, Saint Louis, MO 63108-2212 | 2017-11-20 |
| 1699126706 | Celina Rose Jacobi | Psychiatry & Neurology | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2016-06-29 |
| 1699138495 | Martin Huynh | Psychiatry & Neurology | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2016-03-30 |
| 1255714663 | Ankita Kantilal Vora | Student in an Organized Health Care Education/Training Program | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108 | 2015-07-02 |
| 1699152249 | Brian Bui | Psychiatry & Neurology | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108 | 2015-05-04 |
| 1366830978 | Angela Marie Williams | Nurse Practitioner | 4444 Forest Park Ave Ste 2600, Ste 2600, Saint Louis, MO 63108-2212 | 2015-01-05 |
| 1639300577 | Michael S Bunis | Psychologist | 4444 Forest Park Ave Ste 2600, Ste 2600, Saint Louis, MO 63108-2212 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396907226 | Michael J Thomas Jr. | Psychologist | 8901 Mayfield Ct, Saint Louis, MO 63136-5016 | 2008-07-01 |
| 1841201696 | Kristine V Eickhoff | Psychologist | 8711 Watson Rd, Suite 100, Saint Louis, MO 63119-5100 | 2006-08-10 |
| 1386651982 | James Tilden Hurley | Psychologist | 11140 S Towne Sq, Suite 205, Saint Louis, MO 63123-7830 | 2006-08-03 |
| 1760840367 | Allison Burke | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2016-02-10 |
| 1295027704 | Neha Navsaria Kirtane | Psychologist | 4444 Forest Park Ave, Ste 2600, Saint Louis, MO 63108-2212 | 2011-05-03 |
| 1801122171 | Christine Curtis | Psychologist | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-10-21 |
| 1104029727 | Christine Marie Rankin | Psychologist | 11709 Old Ballas Road, Ste 103, Saint Louis, MO 63141-7029 | 2007-06-10 |
| 1891833422 | Family Resource Center | Psychologist | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2007-02-03 |
| 1255489902 | Matthew Douglas Kliethermes | Psychologist | 1 University Blvd, Weinman Bldg-upper Level, Saint Louis, MO 63121-4400 | 2007-01-08 |
| 1497816284 | Karen A. Jacobi | Psychologist | 970 Executive Parkway Dr, St. John's Family Therapy, Saint Louis, MO 63141-6302 | 2006-12-13 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.