DR. THOMAS KELLY MANGELSDORF (NPI# 1437397643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437397643 |
| Entity Type | Individual |
| Full Name | DR. THOMAS KELLY MANGELSDORF |
| Credential | M.D. |
| Practice Address |
18 Upper Ladue St Louis MO 63124-1675 |
| Practice Telephone | 3149975440 |
| Mailing Telephone | 3149975440 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
26419 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201385317 | 05 | |
| DEA | AM6261870 | 01 |
| Street Address |
18 UPPER LADUE |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63124-1675 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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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| 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.