RANDALL FLANERY PH D NPI 1760533129

NPI Information

  • NPI: 1760533129
  • Provider Name: RANDALL FLANERY, PH D
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1129 MACKLIND AVE
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 534-0200

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NPI Details

Randall Flanery, PH D is a cognitive and behavioral psychologist in Saint Louis, MO. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Randall Flanery, PH D NPI is 1760533129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1129 MACKLIND AVE
SAINT LOUIS, MO
ZIP 63110-440
Phone: (314) 534-0200
Fax: (314) 534-7996

The NPI 1760533129 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/14/2007 and was last updated on 7/8/2007.

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
1103TB0200XPsychologistCognitive & BehavioralR0282MISSOURIYes
2103TB0200XPsychologistCognitive & BehavioralILLINOISNo

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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