DR. DALE JOHNSON ANDERSON


Address: 6365 Clayton Road, St Louis, MO 63117
Phone: 3146451567

DR. DALE JOHNSON ANDERSON (NPI# 1144321746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144321746
Entity Type Individual
Full Name DR. DALE JOHNSON ANDERSON
Credential M.D.
Practice Address 6365 Clayton Road
St Louis
MO 63117
Practice Telephone 3146451567
Practice Fax Number 3147254449
Mailing Telephone 3146451567
Mailing Fax Number 3147254449
Enumeration Date 2006-09-26
Last Update Date 2020-02-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
R2E00 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MAGELLAN 007924000 01
UNITED BEHAVIORAL HEALTH 1521222 01
MERCY HEALTH PLANS B18373 01
VALUEOPTIONS 012043 01
MO BLUE CROSS BLUE SHIELD 25961 01
HEALTHLINK 132483 01
UNITED HEALTH CARE 1521222 01
IBEW 33326 01

Other Providers DALE ANDERSON

NPI Name Taxonomy Address Enumeration
1093088254 Dale Albert Anderson Licensed Practical Nurse 17095 52nd Ave, Chippewa Falls, WI 54729-7119 2012-02-20
1992985048 Dale Stanley Anderson Home Health 1135 Cumberland St, Saint Paul, MN 55117-4850 2007-11-06
1861571911 Dale Michael Anderson Dentist 137 W Schrock Rd, Westerville, OH 43081-2831 2006-11-02
1679557359 Dale Allen Anderson Chiropractor 2389 Renaissance Dr, Ste A, Las Vegas, NV 89119-6106 2005-12-06
1477115301 Dale Anderson Licensed Practical Nurse 3727 S Tacoma Way, Tacoma, WA 98409-3134 2019-07-01
1750779591 Dale Anderson II Nurse Anesthetist, Certified Registered 5050 N Clinton St, Fort Wayne, IN 46825-5886 2015-01-01
1104110220 Dale Wayne Anderson Pharmacist 4160 Town Ctr, T-1861, Sherman, TX 75092-2567 2011-06-06
1124202965 Dale R. Anderson Counselor 450 Meadow Run Dr, Hastings, MI 49058-9053 2007-12-27
1063614568 Dale Robert Anderson Psychiatry & Neurology 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301-5478 2007-06-05
1629296686 Dale P Anderson Internal Medicine 2501 Buena Vista Dr Se, Provider Enrollment, Albuquerque, NM 87106-4260 2007-04-23

Office Location

Street Address 6365 CLAYTON ROAD
City ST LOUIS
State MO
Zip Code 63117

Providers in the same zip code

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 Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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 laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437397643 Thomas Kelly Mangelsdorf Psychiatry & Neurology 18 Upper Ladue, St Louis, MO 63124-1675 2009-01-26
1497947287 Betty Ozar Psychiatry & Neurology 141 N Meramec, Suite 108, St Louis, MO 63105 2007-08-15
1639394786 Cynthia A Florin Psychiatry & Neurology 130 South Bemiston, Suite 707, St Louis, MO 63105 2007-04-16
1588794689 Ahmad Beheshti Ardekani Psychiatry & Neurology Suite 310a, 10004 Kennerly Rd, St Louis, MO 63128-5117 2007-03-07
1518005271 Diane Rankin Miller Psychiatry & Neurology 889 S Brentwood Blvd Ste 204, St Louis, MO 63105-2562 2007-02-02
1174694731 Edward George Dewein Psychiatry & Neurology 621 S New Ballas, Suite 584a, St Louis, MO 63141 2006-11-13
1285718163 Rakhshanda Hassan Psychiatry & Neurology St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 2006-10-25
1265539878 Srinivas Chilakamarri Psychiatry & Neurology 10004 Kennerly Road, Suite 362b, St Louis, MO 63128 2006-09-19
1801991781 Barry Alan Hiatt Psychiatry & Neurology 8820 Ladue Road, Suite 308, St Louis, MO 63124-2079 2006-09-14
1265441299 Sofia Grewal Psychiatry & Neurology 2639 Miami St, St Louis, MO 63118 2006-08-07
Find all providers in ST LOUIS

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City ST LOUIS
Zip Code 63117

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Dataset Information

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.

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