INDEPENDENCE CENTER NPI 1174668289

NPI Information

  • NPI: 1174668289
  • Provider Name: INDEPENDENCE CENTER
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • :
  • Address: 4245 FOREST PARK AVE
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (314) 286-4545

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NPI Details

INDEPENDENCE CENTER is a psychiatry psychiatry neurology in Saint Louis, MO. The provider is 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. INDEPENDENCE CENTER NPI is 1174668289. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

4245 FOREST PARK AVE
SAINT LOUIS, MO
ZIP 63108-810
Phone: (314) 286-4545
Fax: (314) 286-4542

The provider's authorized official is Patricia Holmes .
The authorized official title is Executive Director and has the following contact phone number (314) 880-5415.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 10/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1503350506MEDICAIDMISSOURI
2560003943MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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