Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independence Center

Organization Psychiatry Physician · NPI 1174668289

Independence Center is a Psychiatry Physician in Saint Louis, Missouri. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

4245 Forest Park Ave
Saint Louis, MO 63108-2810
Phone: (314) 286-4545
Fax: (314) 286-4542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Psychiatry Physician Taxonomy 2084P0800X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1174668289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Holmes — Executive Director · (314) 880-5415
Other names Independence Center Health Group; Independence Center
NPI enumeratedFebruary 20, 2007
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address4245 Forest Park Ave, Saint Louis, MO 63108-2810

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