MRS. SHELLEY LIST (NPI# 1518136589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518136589 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY LIST |
| Credential | M. ED. BCBA |
| Practice Address |
7741 Gannon Ave Saint Louis MO 63130-2822 |
| Practice Telephone | 3147259078 |
| Mailing Telephone | 3147259078 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1-03-1348 | MO | Behavioral Health & Social Service Providers |
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1-03-1348 | MO | Behavioral Health & Social Service Providers |
| Street Address |
7741 GANNON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63130-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
| 1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
| 1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
| 1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
| 1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
| 1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
| 1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
| 1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
| Find all providers in zip 63130 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002865 | Denay M Reynolds | Psychologist | 5261 Delmar Blvd Ste 207, Saint Louis, MO 63108-1094 | 2017-09-22 |
| 1225156912 | Maria Renee Carron | Psychologist | 6614 Clayton Rd, #179, Saint Louis, MO 63117-1602 | 2007-03-27 |
| 1699892885 | Michael Arthur Mcleod | Psychologist | 724 Rolfe Dr, Saint Louis, MO 63122-1648 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105793 | Emily Mirriam Morgan IIi | Psychologist | 1013 Winnie St, Poplar Bluff, MO 63901-6457 | 2020-05-13 |
| 1720565286 | Tonalisha Monique Sullivan | Psychologist | 5730 Garfield Ave, Kansas City, MO 64130-3340 | 2018-07-26 |
| 1770757841 | Wildwood Cottage | Psychologist | 11212 E 71st St, Raytown, MO 64133-6801 | 2008-04-18 |
| 1407026057 | Mary L. Hester | Psychologist | 3128 St. Vincent Ave, St. Louis, MO 63104-1418 | 2008-03-10 |
| 1437327426 | All Action Contractors | Psychologist | 3530 Locust St, Kansas City, MO 64109-2263 | 2008-02-13 |
| 1255516621 | Merrick Care Corp | Psychologist | 100 20th Ave S, Greenwood, MO 64034-8611 | 2008-01-04 |
| 1598988669 | Vera Goodloe Rice | Psychologist | 895 Graham Rd, Florissant, MO 63031-7051 | 2007-04-10 |
| 1811029440 | Nova Center of The Ozarks Inc. | Psychologist | 524 S Union Ave, Springfield, MO 65802-2660 | 2007-03-09 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| 1508925025 | Prc Enterprises | Psychologist | 650 Vine St, Poplar Bluff, MO 63901-5039 | 2006-12-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63130 |
Please comment or provide details below to improve the information on MRS. SHELLEY LIST.
| 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.