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

Kirwood Medication Assisted Treatments

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1053953422

Kirwood Medication Assisted Treatments is a Mental Health Clinic/Center (Including Community Mental Health Center) in Kirkwood, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

111 Prospect Ave Ste 201
Kirkwood, MO 63122-6052
Phone: (314) 644-8310
Fax: (314) 293-6749
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1053953422
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDr Gary Hammen MD PHD LLC
Authorized official Gary Hammen — Member · (314) 644-8310
Other names Kirkwood Medication Assisted Treatments
NPI enumeratedOctober 17, 2019
Last updated in NPPESMay 25, 2020
Certification dateMay 25, 2020
Mailing address111 Prospect Ave Ste 201, Kirkwood, MO 63122-6052

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