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

Phoenix Psychological Group, Inc

Organization Prescribing (Medical) Psychologist · NPI 1386767994

Phoenix Psychological Group, Inc is a Prescribing (Medical) Psychologist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 S Meramec Ave Ste 506
Saint Louis, MO 63105-3596
Phone: (314) 863-3588
Fax: (314) 863-0074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence PY01201 (MO)

Record details

NPI number1386767994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Shaw — President · (314) 863-3588
NPI enumeratedApril 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address225 S Meramec Ave, Suite 506, Saint Louis, MO 63105-3596

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