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

State of Missouri

Organization Psychologist · NPI 1376753798

State of Missouri is a Psychologist in Saint Louis, Missouri. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

1901 Pennsylvania Ave
Saint Louis, MO 63133-1325
Phone: (314) 512-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Psychologist Taxonomy 103T00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1376753798
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Hawthorn Children'S Psychiatric Hosptial; Hawthorn Children'S Psychiatric Hosptial
NPI enumeratedMay 23, 2007
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address1706 E Elm St, Jefferson City, MO 65101-4130

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