SHANTIELA HALL


Address: 1238 Oxford Hill Ct Apt 9, Saint Louis, MO 63146-5721
Phone: 3146804878

SHANTIELA HALL (NPI# 1740844844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740844844
Entity Type Individual
Full Name SHANTIELA HALL
Practice Address 1238 Oxford Hill Ct Apt 9
Saint Louis
MO 63146-5721
Practice Telephone 3146804878
Mailing Telephone 3146804878
Enumeration Date 2019-04-24
Last Update Date 2019-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
168641 MO Behavioral Health & Social Service Providers

Office Location

Street Address 1238 OXFORD HILL CT APT 9
City SAINT LOUIS
State MO
Zip Code 63146-5721

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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

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NPI Name Taxonomy Address Enumeration
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1346647906 Emona Lashelle Ewharekuko Psychologist 2162 Cherry Ave, Saint Louis, MO 63121-5625 2014-11-25
1912567322 Christopher Poitevien Psychologist 1 Childrens Pl Ste 3n-14, Saint Louis, MO 63110-1002 2019-06-18
1679522353 Raymond Dalton Psychologist 1 Jefferson Barracks Dr, St Louis Va Medical Center, Saint Louis, MO 63125-4181 2006-05-09
1144285883 Elizabeth Anne Beck Psychologist 915 N Grand Blvd, A516, Saint Louis, MO 63106-1621 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1083813869 Kathleen M. Baggett Psychologist 5125 Tracy Ave, Kansas City, MO 64110-2515 2007-07-12
1790707123 Paul Lynn Susic Psychologist 2451 Executive Dr. Ste. 103, St. Charles, MO 63303 2006-07-24
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1285810432 New Beginnings Behavioral Health Psychologist 729 W Center Cir, Suite 103, Nixa, MO 65714-7001 2008-01-18
1639353915 Psychological Consultants PC Psychologist 6405 N Cosby Ave, Suite 203, Kansas City, MO 64151-2378 2007-12-22
1841324753 Alice G Vlietstra Psychologist 12131 Dorsett Rd, Suite 220, Maryland Heights, MO 63043-2418 2007-03-15
1346205630 Jerry Parker Psychologist 800 Hospital Dr, Columbia, MO 65201-5275 2006-04-19

Competitor

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City SAINT LOUIS
Zip Code 63146

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Dataset Information

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.

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