PHOENIX PSYCHOLOGICAL GROUP, INC is a prescribing (medical) psychologist in Saint Louis, MO. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. PHOENIX PSYCHOLOGICAL GROUP, INC NPI is 1386767994. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
225 S MERAMEC AVE SUITE 506 SAINT LOUIS, MO ZIP 63105-596 Phone: (314) 863-3588 Fax: (314) 863-0074
The provider's authorized official is Patricia S Shaw . The authorized official title is President and has the following contact phone number (314) 863-3588.
The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/22/2020.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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
NPI Synchronization or Removal
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