DR. JEFFREY A VANDER KOOI (NPI# 1407881675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407881675 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY A VANDER KOOI |
| Other Name | DR. JEFFREY A VANDER KOOI |
| Credential | M.D. |
| Practice Address |
9890 Clayton Rd Ste 100 Saint Louis MO 63124-1685 |
| Practice Telephone | 3147251515 |
| Practice Fax Number | 3147251654 |
| Mailing Telephone | 3147251515 |
| Mailing Fax Number | 3147251654 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2004035420 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | GROUP NPI # | 1588772487 | 01 |
| Street Address |
9890 CLAYTON RD STE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539173 | Complete Eye Care, Inc. | Ophthalmology | 9890 Clayton Rd, Suite 200, Saint Louis, MO 63124-1685 | 2005-06-24 |
| 1477172203 | Julia Anne Katzman | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2020-04-12 |
| 1740840883 | Shelby Banach | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2019-06-20 |
| 1932609302 | Hayley Lynn Summe | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2018-02-12 |
| 1427577733 | Tina Villalobos | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2017-09-18 |
| 1568993137 | Madeline Goodwill | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2017-03-24 |
| 1861943953 | Clayton Behavioral | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2016-10-24 |
| 1700336294 | Clayton Behavioral | Student in an Organized Health Care Education/Training Program | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2016-10-07 |
| 1992155923 | Paul Duy Luong | Optometrist | 9890 Clayton Rd, Suite 200, Saint Louis, MO 63124-1685 | 2016-06-21 |
| 1992155006 | St. Louis Therapeutic Alliance LLC | Community/Behavioral Health | 9890 Clayton Rd, Suite 127, Saint Louis, MO 63124-1685 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| 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 |
|---|---|---|---|---|
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1992127492 | St. Anthony's Physician Organization | Psychiatry & Neurology | 10020 Kennerly Rd Fl 2, Saint Louis, MO 63128-2106 | 2014-01-17 |
| 1942644349 | Tianyuan Yin Cornell | Psychiatry & Neurology | 10020 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-04-29 |
| 1881943223 | Jessica Christine Oetting Rosenkvist | Psychiatry & Neurology | Washington University Department of Psychiatry, Campus Box 8134, Saint Louis, MO 63110-1010 | 2012-08-30 |
| 1902111388 | Daniel Murray | Psychiatry & Neurology | 4907 W Pine Blvd, Apt 318, Saint Louis, MO 63108 | 2010-08-10 |
| 1467767913 | Marie Walker | Psychiatry & Neurology | Wash U School of Medicine, 660 S Euclid Ave, Department of Psychiatry, Saint Louis, MO 63110 | 2010-08-09 |
| 1871804914 | Alexander E Graypel | Psychiatry & Neurology | 10004 Kennerly Rd Ste 362b, Saint Louis, MO 63128-2178 | 2010-06-23 |
| 1295051548 | Enquan Gao | Psychiatry & Neurology | 815 Renee Ln, Saint Louis, MO 63141-7642 | 2010-04-12 |
| 1124342894 | John Henry Sweet | Psychiatry & Neurology | 4930 Pershing Pl, Saint Louis, MO 63108-1202 | 2010-03-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
Please comment or provide details below to improve the information on DR. JEFFREY A VANDER KOOI.
| 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.