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

Dr. Stacey Woodrome, PHD

Individual provider Clinical Neuropsychologist · NPI 1689852253

Dr. Stacey Woodrome, PHD is a Clinical Psychologist in Saint Louis, Missouri. Qualified in 2004, 22 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2008
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

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5667
Fax: (314) 268-2784
Show map & directions

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

Additional practice locations (1)

  • 3800 Park Ave Fl 2, Saint Louis, MO 63110-2514 — (314) 577-5667

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 2010017666 (MO)

Record details

NPI number1689852253
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 6, 2008
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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