CLAYTON BEHAVIORAL (NPI# 1700336294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700336294 |
| Entity Type | Organization |
| Organization Name | CLAYTON BEHAVIORAL |
| Practice Address |
9890 Clayton Rd Saint Louis MO 63124-1685 |
| Practice Telephone | 3147251515 |
| Mailing Telephone | 3147251515 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | MR. NED PRESNALL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3147251515 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861943953 | Clayton Behavioral | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2016-10-24 |
| Street Address |
9890 CLAYTON RD |
| 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 |
| 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 |
| 1588029557 | Melissa Franolich | Social Worker | 9890 Clayton Rd, Saint Louis, MO 63124-1685 | 2015-12-17 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845908 | Ali Hamzehloo | Student in an Organized Health Care Education/Training Program | 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 | 2020-09-10 |
| 1114539137 | Brooke Marissa Tubbs | Student in an Organized Health Care Education/Training Program | 5135 Redstone Rd, Saint Louis, MI 48880-9602 | 2020-08-20 |
| 1508475245 | Irfan Yasin | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 | 2020-07-29 |
| 1457978231 | Katherine Coates | Student in an Organized Health Care Education/Training Program | 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 | 2020-06-29 |
| 1184248437 | Catherine Gaines | Student in an Organized Health Care Education/Training Program | 362 S Maple Ave, Saint Louis, MO 63119-3824 | 2020-06-02 |
| 1922620947 | Nicole Werner | Student in an Organized Health Care Education/Training Program | 9669 Amona Ct, Saint Louis, MO 63123-6535 | 2020-05-13 |
| 1043831787 | Reed Welch | Student in an Organized Health Care Education/Training Program | 1501 Fairmount Ave, Saint Louis, MO 63139-3628 | 2020-05-05 |
| 1437779097 | Victoria Emanuelson | Student in an Organized Health Care Education/Training Program | 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 | 2020-04-23 |
| 1831727502 | Kiran Ashok Patel | Student in an Organized Health Care Education/Training Program | 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 | 2020-03-30 |
| 1699301507 | Morgann Madill | Student in an Organized Health Care Education/Training Program | 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 | 2020-03-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
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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.