DR. JESSICA POLSON


Address: 1129 Macklind Ave, Saint Louis, MO 63110-1440
Phone: 3145340200

DR. JESSICA POLSON (NPI# 1295103216) 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) 1295103216
Entity Type Individual
Full Name DR. JESSICA POLSON
Credential PSY.D.
Practice Address 1129 Macklind Ave
Saint Louis
MO 63110-1440
Practice Telephone 3145340200
Practice Fax Number 3145347996
Mailing Telephone 3145340200
Enumeration Date 2015-09-08
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2020010031 MO Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
16216 Baxter Rd Ste 205, Chesterfield, MO 630174778 6365329188 6365329951

Office Location

Street Address 1129 MACKLIND AVE
City SAINT LOUIS
State MO
Zip Code 63110-1440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487732335 St. Louis Behavioral Medicine Institute Inc Psychologist 1129 Macklind Ave, Saint Louis, MO 63110-1440 2006-11-01
1134746712 Carolyn Lee Psychologist 1129 Macklind Ave, Saint Louis, MO 63110-1440 2020-06-30
1760034276 Emily R Gorzalski Psychologist 1129 Macklind Ave, Saint Louis, MO 63110-1440 2019-07-15
1992213326 Alison R Menatti Psychologist 1129 Macklind Ave, Saint Louis, MO 63110-1440 2018-01-19
1790237220 Sandra Rose Price Social Worker 1129 Macklind Ave, Saint Louis, MO 63110-1440 2016-11-01
1841667029 Kaylie Thomas Allen Psychologist 1129 Macklind Ave, Saint Louis, MO 63110 2015-08-24
1770963407 Jessica Gerfen Psychologist 1129 Macklind Ave, Saint Louis, MO 63110-1440 2015-06-08
1992114417 Camille Randall Psychologist 1129 Macklind Ave, Saint Louis, MO 63110-1440 2014-08-08
1487093092 Kerrie Armstrong Psychologist 1129 Macklind Ave, Saint Louis, MO 63110-1440 2013-06-17
1053656595 Ashleigh Sarah Golden Student in an Organized Health Care Education/Training Program 1129 Macklind Ave, Saint Louis, MO 63110-1440 2012-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174147649 Melissa Turkel Psychologist 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 2020-06-01
1629600085 Dr Richard Heise LLC Psychologist 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 2020-02-04
1598302226 Taylor Montgomery Psychologist 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 2019-12-02
1265917884 Gillian Sloane Mayersohn Psychologist 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 2018-09-28
1265944466 Brittany Jacobson Psychologist 1 Jefferson Barracks Rd # 116b, Saint Louis, MO 63125-4181 2017-10-27
1801316690 David Howard Morris Psychologist 4921 Parkview Pl # 90-35703, Saint Louis, MO 63110-1032 2017-06-22
1144774647 Carolyn Ashley Myles Versical Psychologist 26 Godwin Ln, Saint Louis, MO 63124 2016-08-12
1376980326 Joshua Paul Beaman-kogan Psychologist 1 University Blvd # 232, Stadler Hall, Saint Louis, MO 63121-4400 2013-05-31
1104176064 Brooke Kraushaar,psy.d,llc Psychologist 6321 Alamo Ave, Saint Louis, MO 63105-3103 2012-09-18
1326335837 Jeremiah Weinstock Psychologist 3511 Laclede Ave, Shannon Hall, Room 208, Saint Louis, MO 63103-2010 2011-07-05
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Competitor

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City SAINT LOUIS
Zip Code 63110

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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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