SPARROW PSYCHOLOGICAL SERVICES LLC NPI 1831274943

NPI Information

NPI: 1831274943
Provider Name: SPARROW PSYCHOLOGICAL SERVICES, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
777 CRAIG RD
SUITE 100
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 991-1033
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SPARROW PSYCHOLOGICAL SERVICES, LLC is an adult mental health clinic center in Saint Louis, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SPARROW PSYCHOLOGICAL SERVICES, LLC NPI is 1831274943. The provider is registered as an organization entity type.

The provider's business location address is:

777 CRAIG RD
SUITE 100
SAINT LOUIS, MO
ZIP 63141-138
Phone: (314) 991-1033
Fax: (314) 395-2432

The provider's authorized official is Robin Susan Park .
The authorized official title is Managing Member and has the following contact phone number (314) 991-1033.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 1/17/2008.

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
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	LC0731335	MISSOURI	No
2	261QM0850X	Clinic/Center	Adult Mental Health	LC0731335	MISSOURI	Yes

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
1	F46693	MEDICARE UPIN	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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