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

SSM Cardinal Glennon Childrens Hospital

Organization Psychologist · NPI 1174577670

SSM Cardinal Glennon Childrens Hospital is a Psychologist in O Fallon, Illinois. Works from 4 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7

Practice location Address checks out

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone: (618) 234-2120
Show map & directions

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

Additional practice locations (3)

  • 226 S Woods Mill Rd Ste 62w, Chesterfield, MO 63017-3665 — (314) 469-3990
  • 1465 S Grand Blvd, Saint Louis, MO 63104-1003 — (314) 577-5600
  • 13000 Butler Crest Dr, Saint Louis, MO 63128-4276 — (314) 842-3535

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Cytopathology Physician Taxonomy 207ZC0500X
Pediatric Obesity Medicine Physician Taxonomy 2080B0002X
Psychiatry Physician Taxonomy 2084P0800X
Body Imaging Physician Taxonomy 2085B0100X

Record details

NPI number1174577670
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Cardinal Glennon Childrens Hospital
Authorized official Karen Rewerts — Vp Finance · (314) 989-2034
Other names Ssm Health Cardinal Glennon Children'S Hospital
NPI enumeratedMay 19, 2006
Last updated in NPPESSeptember 30, 2020
Certification dateAugust 24, 2020
Mailing address1145 Corporate Lake Dr, Saint Louis, MO 63132-2907

Other providers in O Fallon