INTEGRATIVE MIND INSTITUTE, LLC (NPI# 1124675160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124675160 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MIND INSTITUTE, LLC |
| Practice Address |
7750 Clayton Rd Ste 303 Richmond Heights MO 63117-1341 |
| Practice Telephone | 3144894810 |
| Mailing Telephone | 3144894810 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | DR. CHRISTINE SCHNEIDER (FOUNDER) |
| Authorized Official Telephone | 3144894810 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 108 N Clay Ave Ste 200, Kirkwood, MO 631224265 | 3144894810 |
| Street Address |
7750 CLAYTON RD STE 303 |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip Code | 63117-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252789 | Karen Sue Johnson | Psychologist | 1706 Nw 63rd Ter, Kansas City, MO 64118-3000 | 2020-10-09 |
| 1063972081 | Marianela Dornhecker | Psychologist | 3832 Mcdonald Ave, Saint Louis, MO 63116-4717 | 2019-03-25 |
| 1255813002 | Rimiko Thomas | Psychologist | 19 Ranchview Dr, Florissant, MO 63033-8043 | 2018-08-29 |
| 1861995680 | Chrisanthia Brown | Psychologist | 800 W 47th St Ste 630, Kansas City, MO 64112-1373 | 2018-03-18 |
| 1518483825 | Consuelo Maturana | Psychologist | 7505 Pershing Ave Apt 2w, Saint Louis, MO 63130-4024 | 2017-08-17 |
| 1922520394 | Ivorie D Chambers | Psychologist | 10439 Gardo Court, Saint Louis, MO 63137 | 2017-07-07 |
| 1801251764 | Douglas H Fehr | Psychologist | 1504 Se Cape Dr, Lees Summit, MO 64081-2180 | 2015-12-19 |
| 1205222346 | David L Schlink & Associates Psychological Services LLC | Psychologist | 2017 E Lark St, Springfield, MO 65804-6745 | 2015-04-14 |
| 1104223940 | Partners In Parenting Excellence LLC | Psychologist | 2906 S Main St, Joplin, MO 64804-2639 | 2014-11-21 |
| 1194140756 | Emergence Psychological Services | Psychologist | 1131 Thornwood Dr, Saint Louis, MO 63124-1227 | 2014-02-19 |
| Find all providers with the same taxonomy | ||||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
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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.