RICHARD YAKIMO (NPI# 1811417363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811417363 |
| Entity Type | Individual |
| Full Name | RICHARD YAKIMO |
| Credential | APRN, PMHNP-BC |
| Practice Address |
1201 Bellevue Ave Saint Louis MO 63117-1701 |
| Mailing Address |
5000 Cedar Plaza Pkwy Ste 350 Saint Louis MO 63128-3859 |
| Practice Telephone | 3146474488 |
| Mailing Telephone | 3148434333 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
128978 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 128978 | 01 |
| Street Address |
1201 BELLEVUE AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144246380 | Katherine P. Buchowski | Psychiatry & Neurology | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2006-07-14 |
| 1326693904 | Jesus Ligot Md LLC | Clinic/Center | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2019-08-09 |
| 1699129106 | Shelby Arsenault | Social Worker | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2016-04-20 |
| 1023310869 | Teresa A Brown | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2010-11-30 |
| 1104028950 | Educational & Psychological Svcs LLC | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-06-04 |
| 1265570592 | Jeffrey E Boatman | Clinical Nurse Specialist | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1194863431 | Theresa C Kormos | Clinical Nurse Specialist | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1902944259 | Peggy A Szwabo | Social Worker | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1790823060 | Sky, LLC | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| 1699813972 | J Russell Hyken | Counselor | 1201 Bellevue Ave, Saint Louis, MO 63117-1701 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1619433125 | Kacey Alexandra Patterson | Nurse Practitioner | 4219 Laclede Ave Ste B, Saint Louis, MO 63108-2814 | 2019-02-20 |
| 1245708239 | Anne Leslie Thatcher | Nurse Practitioner | 915 N Grand Blvd Ofc C123, Saint Louis, MO 63106-1621 | 2018-11-07 |
| 1194271163 | Amanda Maria Kearney | Nurse Practitioner | 555 N New Ballas Rd Ste 220, Saint Louis, MO 63141 | 2016-08-30 |
| 1033722061 | Ashley Maull | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-28 |
| 1992315857 | Corey Weicht | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-05 |
| 1063021905 | Alexandria Colleen Grodie | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-27 |
| 1841810025 | Innovative Mental Health Services | Nurse Practitioner | 12747 Olive Blvd Ste 300, Saint Louis, MO 63141-6269 | 2020-04-17 |
| 1386284990 | Virginia Cozon Lanzotti | Nurse Practitioner | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2020-01-11 |
| 1700423076 | Faisal Matar | Nurse Practitioner | 12855 N 40 Dr, Saint Louis, MO 63141-8622 | 2019-12-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on RICHARD YAKIMO.
| 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.