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

Individual provider Clinical Psychologist · NPI 1477659498

Dr. John Kuriako Thekkedam, PHD is a Clinical Psychologist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1505 Haviland Dr
Saint Louis, MO 63137-1559
Phone: (314) 868-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 01242 (MO)
Clinical Psychologist Taxonomy 103TC0700X (IL)

Record details

NPI number1477659498
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 8, 2007

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