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

State of Missouri

Organization Clinical Psychologist · NPI 1427002013

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
3

Practice location Address checks out

5300 Arsenal St
Saint Louis, MO 63139-1463
Phone: (314) 644-8000
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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
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1427002013
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names St Louis Forensic Treatment Center; St. Louis Psychiatric Rehabilitation Center
NPI enumeratedMay 19, 2006
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020
Mailing address1706 E Elm St, Jefferson City, MO 65101-4130

Other providers in Saint Louis