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

Dr. Paul M Vandivort Jr., MD

Individual provider Psychiatry Physician · NPI 1780801407

Dr. Paul M Vandivort Jr., MD is a Psychiatry Physician in Clayton, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

141 N Meramec Ave Ste 306
Clayton, MO 63105-3750
Phone: (314) 721-2286
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD R8670 (MO)

Record details

NPI number1780801407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESJuly 8, 2007

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