DR. ANDREW T PICKENS III (NPI# 1366543746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366543746 |
| Entity Type | Individual |
| Full Name | DR. ANDREW T PICKENS III |
| Credential | MD |
| Practice Address |
1034 S Brentwood Blvd Suite 500 St Louis MO 63117 |
| Practice Telephone | 3147272700 |
| Practice Fax Number | 3147272773 |
| Mailing Telephone | 3147272700 |
| Mailing Fax Number | 3147272773 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
32150 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHLINK | 102091 | 01 | |
| UNITED BEHAVIORAL HEALTH | 154119 | 01 | |
| CMR | 57158 | 01 | |
| MO | BLUE CROSS BLUE SHIELD | 10742 | 01 |
| MERCY HEALTH PLANS | A10290 | 01 | |
| EXCLUSIVE CHOICE | 015011 | 01 | |
| UNITED HEALTHCARE | 154119 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902933385 | Andrew W Pickens | Dentist | 730 Main, Suite 101, Billings, MT 59105 | 2007-02-27 |
| 1962066530 | Andrew Connor Pickens | Emergency Medicine | Emergency Medicine Department, 14 Medical Park, Collumbia, SC 29203 | 2019-04-29 |
| 1235350513 | Andrew T. Pickens Iv | Emergency Medicine | Yale Medical School, 333 Cedar St., New Haven, CT 06511 | 2007-05-02 |
| Street Address |
1034 S BRENTWOOD BLVD SUITE 500 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700927993 | Carolyn J Oneill Inc | Clinical Medical Laboratory | 1034 S Brentwood Blvd, Suite 1880, St Louis, MO 63117-1218 | 2007-02-09 |
| 1952453532 | Sharon Kathleen Diekemper | Counselor | 1034 S Brentwood Blvd, Ste 1480, St Louis, MO 63117 | 2007-01-17 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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] |
| 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 |
| 1144321746 | Dale Johnson Anderson | Psychiatry & Neurology | 6365 Clayton Road, St Louis, MO 63117 | 2006-09-26 |
| 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 |
| Find all providers in ST LOUIS | ||||
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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.