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

State of Missouri

Organization Clinical Psychologist · NPI 1073567491

State of Missouri is a Clinical Psychologist in Saint Louis, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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Practice location Address checks out

5351 Delmar Blvd
Saint Louis, MO 63112-3146
Phone: (314) 877-0500
Fax: (314) 877-0553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1073567491
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Metropolitan St. Louis Psychiatric Center; Metropolitan St. Louis Psychiatric Center
NPI enumeratedMay 20, 2006
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address1706 E Elm St, Jefferson City, MO 65101-4130

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